Resources

Claim Forms

Title	Type	Size
Claim-Form-12-accident-benefit-proof-of-claim-2023-draft	pdf	114 KB	Download
Claim-Form-19-agreem-to-reimburse-recoverables-2023	pdf	115 KB	Download
Claim-Form-8A-non-fire-proof-of-loss-interim-2023	pdf	109 KB	Download
Claim-Form-6-non-waiver-agreement-2001	pdf	16 KB	Download
Claim-Form-13-sectionB-accident-benefits-2023-draft	pdf	28 KB	Download
Claim-Form-14-accident-benefit-proof-of-death-2023-draft	pdf	32 KB	Download
Claim-Form-5-authorization-medical-info-2001	pdf	10 KB	Download
Claim-Form-12B-accident-benefits-medical-rpt-2023-draft	pdf	29 KB	Download
Claim-Form-11-property-loss-short-form-2023	pdf	33 KB	Download
Claim-Form-10-minor-accident-loss-report-2023	pdf	32 KB	Download
Claim-Form-15-employers-confirmation-income-2015	pdf	20 KB	Download
Claim-Form-17-auto-repair-invoicing-authorization-2023	pdf	130 KB	Download
Claim-Form-9-schedule-of-loss-2001	pdf	19 KB	Download
Claim-Form-12A-sectionB-accident-benefits-2023-draft	pdf	129 KB	Download
Claim-Form-7-fire-proof-of-loss-2023	pdf	133 KB	Download
Claim-Form-8-non-fire-proof-of-loss-2023	pdf	36 KB	Download
Claim-Form-16-auto-appraisal-form-2023	pdf	146 KB	Download
Claim-Form-18-salvage-statement-2023	pdf	107 KB	Download
Claim-Form-4-indemnifying-agreement-2023	pdf	117 KB	Download
Claim-Form-6B-agreem-by-insured-to-reimburse-authorize-insurer-2001	pdf	14 KB	Download