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Retrieve Claim Form     

Click on the button above to open our claim form which is available in PDF format.  *** UPDATED *** You can now fill out your claim form online. You will need to print a copy and mail or fax to us when completed as this form DOES NOT automatically submit a copy. Click the above Acrobat Reader link for the free reader version of Adobe Acrobat. 

When you click on the link above, it will open into a new window.  You will need to print the claim form and manually fill it out.  Please print a copy for your records, and remember to also submit any other pertinent data via fax or mail.  Please note, you will not be able to save a copy of your filled-out claim form to a file unless you have the full version of Adobe Acrobat.



SERVING ALASKA FOR OVER 50 YEARS