Get Applications For Loomis Company Form

Completing the Applications For Loomis Company Form online can streamline the claims process and ensure timely submission. This guide provides clear, step-by-step instructions to help users effectively fill out the required fields in the form.

Follow the steps to accurately complete the form online.

1. Press the ‘Get Form’ button to access the Applications For Loomis Company Form and open it in your browser.
2. Fill out Part A of the claim form completely. This section requires the name of the organization, policy number, address, name of the injured person, and details regarding the accident.
3. In Part A, provide a thorough explanation of how the accident occurred. If available, attach an accident report for reference.
4. Ensure that Part A is signed and dated by an official or a staff member of the organization.
5. Complete Part B of the claim form. This section must be filled out by the injured person or their parent/guardian if the injured person is a minor.
6. Input all personal details in Part B, including date of birth, social security number, and contact information.
7. Confirm whether the injured person holds any other health or accident insurance and provide the necessary details if applicable.
8. Attach all relevant medical bills itemized correctly, ensuring they are in the proper format (CMS 1500 or UB04).
9. Review the claim form and checklist to confirm all sections are completed. Ensure that the claim is submitted within the 90-day window from the date of the accident.
10. Once the form is fully completed, save your changes and download or print the form if necessary. You can then submit the forms by mailing them to the Loomis Company.

Start completing your Applications For Loomis Company Form online today to ensure your claims are processed efficiently.