We hope you never have a claim, but understand they do happen and want to help you. We want to make the claims experience as easy as possible. We have created a number of reference documents for you. Please click on the appropriate link below to download a fill-able PDF document and email it to firstname.lastname@example.org or fax it to 616-454-7100. We will go to work on your behalf once we receive your information. If you need help please call our office between 8:30 am and 5:00 pm or we have listed all the insurance companies we represent 24 hour claims phone numbers under the above tab “Claims Phone Numbers”.
- State of Michigan Workers Compensation Form 100
- Automobile Claim Reporting Form
- Property Claim Reporting Form
- Liability Claim Reporting Forms
- Employer Internal Injury Documentation Forms