First you’ll need to fill out an Accident Claim Form
The claim form must be submitted for each individual claim.Part A must be completed by the policyholder and Part B must be completed by injured person / guardian.No claim can be submitted without our Part A & Part B fully completed, including signatures.
PLEASE NOTE: THE CLAIM FORM MUST BE SUBMITTED WITHIN 90 DAYS OF THE INJURY/ACCIDENT DATE!
Please contact us for accident claim forms, toll free: (800)747-9573.