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Get Print Form - Online Claim Center

Order to accelerate the claims process, it is imperative that you provide us with the documentation necessary for us to complete our investigation. Enclosed please find a claim form and Medical Authorization form that must be completed, signed, notarized and returned. Please do not leave any part of the form blank. If the answer is none or is not applicable, please indicate this in the space provided. Additionally, we will require that you provide us with a complete copy of the police report. A.

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