Report Claims App

Our new Claims Reporting app makes reporting claims easy.

main screen on claim reporting app

Reporting claims is easier than ever before with our straightforward, simple to navigate app.

We've streamlined the question fields to only ask you what's truly important so you don't waste any time or have to track down obscure details. Of course, if you have additional information, you can definitely enter it to help us expedite the initial claim processing time.

Download our free apps now to your iPad, iPhone, Android or other mobile device.

Download on the App Store Get it on Google Play

Other ways to report a claim

phone  Call the 24 hour hotline
   Dial 833-968-7642. We have trained personnel standying by around the clock to help you navigate an injury and record your claim.

computer  Fill it out online
   Click here to choose your state and access our online portal where you can fill out a report.

email  Email a completed report
   Email it to Whether you've filled it out by hand or via Adobe, if you have a completed report, you can email it to us.

print  Fax a completed report
   Fax it to 844-220-5070. If it's easier for you to scan and fax the completed report, it's good with us too.

Need to download the proper form for your state? Find your form by selecting your state here.