ABOUT CONTACT LOGIN Home » Forms Pennsylvania Forms Choose from the drop down menus below to find and download claim forms, instructions, checklists and user kits for Pennsylvania. The PDF forms will require Adobe Reader®. For Wisconsin materials, please contact Kasey Baker by email or by phone at (717) 790-2322. Pennsylvania - 2021 Applications Pennsylvania - Claim Forms Pennsylvania - Property and Liability Pennsylvania - Workers' Compensation Pennsylvania - Dental, Vision and COBRA Pennsylvania - Life and Disability Risk Control RiskMgmt Accident General Investigation Form RiskMgmt Instruction Form Safety Committee Inspection Checklists RiskMgmt Slip TripFall Investigation Form RiskMgmt Strain Injury Investigation Form Who We Are A leading commercial property and liability insurance company dedicated to serving educational institutions. Learn More > Proudly providing school employee benefit products and third-party claims administrative services. Learn More > CM Regent Insurance Company 300 Sterling Parkway, Ste. 100, Mechanicsburg, PA 17050 Main: 717-590-8008 Toll-free: 844-480-0709 webcomments@cmregent.com Supplier Diversity Legal and Privacy | Church Mutual Insurance Company, S.I. © 2021 Church Mutual Insurance Company, S.I. (a stock insurer)1 All Rights Reserved. CM Regent Insurance Company and CM Regent Solutions are registered trademarks of Church Mutual Insurance Company, S.I. 1Church Mutual is a stock insurer whose policyholders are members of the parent mutual holding company formed on 1/1/20. S.I. = a stock insurer Back To Top