Resources

Claim Forms

Title	Type	Size
Claim-Form-12-accident-benefit-proof-of-claim-2023-draft	pdf	114 KB	Download
Claim-Form-12A-sectionB-accident-benefits-2023-draft	pdf	129 KB	Download
Claim-Form-14-accident-benefit-proof-of-death-2023-draft	pdf	32 KB	Download
Claim-Form-5A-authorization-wage-info-2001	pdf	10 KB	Download
Claim-Form-16-auto-appraisal-form-2023	pdf	146 KB	Download
Claim-Form-8-non-fire-proof-of-loss-2023	pdf	36 KB	Download
Claim-Form-3-final-release-2023	pdf	119 KB	Download
Claim-Form-5B-medical-report-2001	pdf	21 KB	Download
Claim-Form-9-schedule-of-loss-2001	pdf	19 KB	Download
Claim-Form-8A-non-fire-proof-of-loss-interim-2023	pdf	109 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-2D-notice-owner-branded-salvage-2001	pdf	17 KB	Download
Claim-Form-5C-reservation-of-rights-letter-2001	pdf	10 KB	Download
Claim-Form-2E-notice-owner-branded-irreparable-2001	pdf	11 KB	Download
Claim-Form-15-employers-confirmation-income-2015	pdf	20 KB	Download
Claim-Form-2B-disposition-salvage-2015	pdf	21 KB	Download
Claim-Form-2C-notice-owner-retained-salvage-2001	pdf	18 KB	Download
Claim-Form-2A-auto-total-loss-2023	pdf	144 KB	Download
Claim-Form-13-sectionB-accident-benefits-2023-draft	pdf	28 KB	Download