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 the latest version of Adobe Reader.
Download and print out the documents. Then fill in all necessary information and fax to us at (812) 474-2184.
Please feel free to call us with any emergency claim questions at our 24/7 number, (812) 479-8651.