Please select the appropriate Claim Form for the type of loss you wish to report. These forms are provided in Adobe PDF format which requires the Acrobat Reader to be installed on your computer. Click here to download and install the Adobe Acrobat Reader.
Once you have completed the form, please fax it to our Claims Department at (812) 474-2184.
|Commercial Auto Claim||Worker's Compensation Claim||Property/Liability Claim