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Ambulance

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Workers Compensation

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Home > Claim Information

Claim Information

Available Claim Forms

To submit a claim use one of the appropriate company links below. If none are available for your particular claim, please contact us directly.

Auto Accident Claim

Nationwide Independent

URL:
https://www.alliedinsurance.com

Claim Phone:
1-800-421-3535

Policy Questions:
800-532-1436

Billing Phone:
800-282-1446

Billing URL:
https://www.alliedinsurance.com

Atlas Financial Holdings, INC

URL:
https://atlas-fin.com/

Claim URL:
https://atlas-fin.com/Customers/Claims

Policy Questions URL:
https://atlas-fin.com/contacts

RLI Insurance

URL:
http://www.rlicorp.com/index.asp

Claim Phone:
800-444-0406

Zenith Insurance Company

URL:
http://www.thezenith.com/

Claim Phone:
800-440-5020

Policy Questions:
800-440- 5020

Billing Phone:
800-440-5020

State Fund

URL:
http://www.statefundca.com

Claim Phone:
888-222-3211

Policy Questions:
877-405-4545

Applied Underwriters

URL:
http://www.auw.com/

Claim Phone:
(877) 234-4420

Policy Questions URL:
customerservice@auw.com

Policy Questions:
(877) 234-4420

Billing Phone:
(877) 234-4420

AMCO Auto Insurance

URL:
http://www.amco.tv/

Policy Questions URL:
http://www.amco.tv/company.html

Policy Questions:
713-771-2626

Anthem Blue Cross of California

URL:
http://www.anthem.com/ca/health-insurance/home/overview

Gateway Insurance Company

URL:
http://www.gicauto.com/

Claim Phone:
800-852-7078

Policy Questions:
800-779-3600

Geovera Insurance

URL:
http://www.geovera.com/

Claim Phone:
800-859-8734

Policy Questions:
800-324-6020

CNA Surety

URL:
http://www.cnasurety.com

Claim Phone:
1-877-672-6115

Claim URL:
https://www.cnasurety.com/cna/guest/cnasurety/claimservices/!ut/p/b1/04_Sj9CPykssy0xPLMnMz0vMAfGjzOJNDLy9Q3xMQo28TF0cDTz9_IIDLB2djP19DIAKIoEKDHAARwNC-r30o9Jz8pOAVoXrR4EV4zHLzyM_N1W_IDeiMsTEUREAkW7Uwg!!/dl4/d5/L2dJQSEvUUt3QS80SmtFL1o2XzQwS0tUTDRVMko1REEwSU5OU1A5QUIzTzY3/

Policy Questions:
1-800-331-6053

Billing Phone:
1-800-331-6053

Billing URL:
https://onlinepay.cnasurety.com/EpayWeb/

Markel Insurance

URL:
https://www.markelinsurance.com/

Claim Phone:
800-362-7535

Claim URL:
https://www.markelinsurance.com/file-a-claim

Policy Questions URL:
https://www.markelinsurance.com/contact-us

Policy Questions:
800-416-4364

Billing URL:
https://www.markelinsurance.com/paymybill

California Fair Plan

URL:
http://www.cfpnet.com/

Claim Phone:
cfpclaims@cfpnet.com

Claim URL:
http://www.cfpnet.com/lossnotice/

Policy Questions:
1-800-339-4099

Kaiser Permanente

URL:
http://www.kaiserpermanente.org

California Earthquake Authority

URL:
http://www.earthquakeauthority.com/

Claim URL:
http://www.earthquakeauthority.com/insurancepolicies/Pages/howtofileaclaim.aspx

Policy Questions:
888.423.2322

Stillwater Insurance

URL:
https://stillwaterinsurance.com/home/index.html

Claim Phone:
(800) 491-7683

Claim URL:
https://stillwaterinsurance.com/main/claims

Policy Questions:
(866) 877-6355

Billing Phone:
(855) 712-4092

Progressive

URL:
http://www.progressive.com

Claim Phone:
800-274-4499

Policy Questions:
800-776-4737

HCC Surety Group

URL:
http://www.hcc.com/surety/

Policy Questions URL:
http://www.hcc.com/Contact.aspx

Progressive Insurance

URL:
https://www.progressive.com/

Claim Phone:
1-800-925-2886

Claim URL:
http://www.progressiveagent.com/claims/claims.aspx

Policy Questions URL:
https://www.progressiveagent.com/manage-your-policy.aspx

Policy Questions:
800-888-7764

Billing URL:
https://account.progressive.com/access/login

Insco-Dico Group

URL:
https://www.inscodico.com/

Policy Questions:
800-782-1546

The Hartford

URL:
http://www.thehartford.com/

Claim Phone:
1-800-243-5860

Claim URL:
https://www.thehartford.com/claims

Policy Questions URL:
https://www.thehartford.com/contact-the-hartford

Policy Questions:
860-547-5000

Billing Phone:
860-547-5000

Glatfelter Insurance Group

URL:
http://www.glatfelters.com

Claim Phone:
Contact Your Agent

Claim URL:
http://glatfelters.com/contact-glatfelter-insurance

Policy Questions:
800-233-1957

California State Compensation Insurance Fund

CA State Comp

URL:
http://www.statefundca.com/

Claim Phone:
(888) 782-833

Claim URL:
http://www.statefundca.com/claims/ClaimsSvcs.asp

Policy Questions URL:
http://www.statefundca.com/contact/ContactUs.asp

Policy Questions:
(888) 782-8338

First Comp Insurance

URL:
https://www.firstcomp.com

Claim Phone:
(888)500-3344

Policy Questions URL:
http://www.markelinsurance.com

Policy Questions:
888-500-3344

Billing Phone:
(888)500-3344

Billing URL:
https://www.firstcomp.com/fcmarketing/index.cfm/billing/online-payment/

California Fair Plan

URL:
http://www.cfpnet.com/

Claim Phone:
cfpclaims@cfpnet.com

Claim URL:
http://www.cfpnet.com/lossnotice/

Policy Questions:
1-800-339-4099

Foremost Insurance

URL:
http://www.foremost.com/

Claim Phone:
800-527-3907

Claim URL:
http://www.foremost.com/claims

Policy Questions:
800-527-3905

Billing Phone:
800-532-4221

Billing URL:
http://www.foremost.com/payonline/agent.asp

Philadelphia Insurance Companies

URL:
http://www.phly.com/

Claim Phone:
1-800-765-9749, ext 3

Policy Questions:
877-438-7459

MAPFRE Insurance

URL:
https://www.mapfreinsurance.com/b2cwebapp/home

Claim Phone:
1-866-351-2548

Claim URL:
https://www.mapfreinsurance.com/b2cwebapp/cwic/reportClaim/

Policy Questions URL:
https://www.mapfreinsurance.com/b2cwebapp/contactUs

Billing URL:
https://www.mapfreinsurance.com/b2cwebapp/cwic/payment

Builders & Tradesmen's Insurance Services, Inc

URL:
https://my.btisinc.com/

Policy Questions URL:
https://my.btisinc.com/Company/Contact-Us

Policy Questions:
877-649-6682

Blue Cross of California

URL:
https://www.anthem.com/ca/health-insurance/home/overview

Claim URL:
https://www.anthem.com/ca/health-insurance/customer-care/forms-library

Policy Questions URL:
https://www.anthem.com/ca/health-insurance/customer-care/faq

Policy Questions:
1-866-755-2680

Burns & Wilcox

URL:
http://www.burnsandwilcox.com/

Policy Questions URL:
http://www.burnsandwilcox.com/CategoryPage.aspx?id=230

Billing URL:
http://www.burnsandwilcox.com/Payment.aspx

Hartford Steam Boiler

URL:
https://www.munichre.com/HSB/home/index.html

Claim Phone:
888-472-5677

Policy Questions:
800-472-1866

Progressive Insurance

URL:
https://www.progressive.com/

Claim Phone:
1-800-925-2886

Claim URL:
http://www.progressiveagent.com/claims/claims.aspx

Policy Questions URL:
https://www.progressiveagent.com/manage-your-policy.aspx

Policy Questions:
800-888-7764

Billing URL:
https://account.progressive.com/access/login

Swett & Crawford

URL:
http://swett.com/

Policy Questions URL:
http://swett.com/contact-us/

VFIS

URL:
http://www.vfis.com/index.htm

Claim URL:
http://www.vfis.com/insurance-claims-emergency-services.htm

Policy Questions URL:
http://www.vfis.com/contact.asp

WCIRB

URL:
https://www.wcirb.com/

Policy Questions URL:
http://www.wcirb.com/contact-us/contact-info

Policy Questions:
888.229.2472

Worldwide Facilities Inc

URL:
http://wwfi.com/

Zurich Insurance

URL:
http://www.zurichna.com/

Claim Phone:
800-987-3373

Policy Questions:
800-382-2150

Billing Phone:
800-382-2150

Contact Us Today!
818-243-0000

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Burbank, CA 91502
Ph: 818-243-0000

NEMT Vehicles

Taxi's

Limousine's

Ambulance

Workers Compensation

Claim Information

Available Claim Forms

Nationwide Independent

Atlas Financial Holdings, INC

RLI Insurance

Zenith Insurance Company

State Fund

Applied Underwriters

AMCO Auto Insurance

Anthem Blue Cross of California

Gateway Insurance Company

Geovera Insurance

CNA Surety

Markel Insurance

California Fair Plan

Kaiser Permanente

California Earthquake Authority

Stillwater Insurance

Progressive

HCC Surety Group

Progressive Insurance

Insco-Dico Group

The Hartford

Glatfelter Insurance Group

CA State Comp

First Comp Insurance

California Fair Plan

Foremost Insurance

Philadelphia Insurance Companies

MAPFRE Insurance

Builders & Tradesmen's Insurance Services, Inc

Blue Cross of California

Burns & Wilcox

Hartford Steam Boiler

Progressive Insurance

Swett & Crawford

VFIS

WCIRB

Worldwide Facilities Inc

Zurich Insurance

Contact Us Today! 818-243-0000

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Contact Us Today!
818-243-0000