Instructions:
If you need a claim form immediately, print the correct form
from below on your own printer, complete it, and mail it to
us with your bills.
(Read carefully from the options below and choose the correct
claim form for your school or college).
For
an incident of accident or illness that begins in the
school year 2000-2001, choose one of the following claim
forms for the school or university you attend:
The
claim forms are in Adobe's PDF format and you will need
Adobe's Acrobat Reader to view them. If you don't have
it, you can download it for free by clicking on the logo
to the left and following the simple instructions.
College
Download
Claim Form
Calvin College
ANY college or university in the
state of Florida
The Atlanta College of Art, or LaGrange
University
Use this form for ALL OTHER colleges
and universities in any other state