A variety of First Notice of Claim forms are available below in PDF format. To use these forms you must have Adobe's Acrobat Reader installed on your PC. The Adobe Reader is free, available at http://www.adobe.com/products/acrobat/readstep.html.
To file your claim, simply:
1) Open the First Notice of Claim
2) Fill in your Claim information and print it to your local printer
3) Fax the form to your Allied Regional Claim Reporting Office
NEW YORK
Att: Mairead Mensching
Fax #: 516-704-6898
NEW JERSEY
Att: Ric Comer
Fax #: 908-947-0034
GEORGIA
Att: Ingrid Hanson
Fax #: 404-842-1411
TEXAS
Att: Paul Johnson
Fax #: 972-387-8837
CALIFORNIA
Att: Raquel Balauro
Fax #: 510-578-2101
ILLINOIS
Att: Joseph DiBernardo
Fax: 312-372-6778
MISSOURI
Att: Bradley Wells
Fax:
If you prefer, you also can file your claim online.
Any questions, please contact:
Mairead Mensching, Assistant Vice President - Claims
Phone: 516-396-4246 or Email: mmensching@alliedna.com
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