Contact Us

817-370-0000 Call Richard Abrams to get started
[email protected]

forms

COMPLETE THE VERIFICATION & POA FORM.
ALL THE OTHER FORMS WILL AUTOMATICALLY FILL IN!





Click the button link to access either our Claim Forms Package or our Entire Forms Packet (which includes Affidavits for Lost Policy, Proof of Death, Name Change, & Small Estate). These versions will also "auto populate" several required fields. The forms can be filled out online and printed for faxing to us.


COMPLETE THE FIRST FORM & ALL THE
OTHER FORMS AUTOMATICALLY FILL IN
TO SAVE YOU TIME!



Send all original paperwork to our offices:

ASSIGNED CLAIMS Post Office Box 123550
Fort Worth, TX 76121-350
Tel. 817-370-0000