Heritage Insurance Managers, Inc.
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Heritage Insurance Managers, Inc.


Instant Claim Form
 
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).

 
School Year 2001-2002
School Year 2002-2003
School Year 2003-2004
School Year 2004-2005
 
School Year 2000-2001

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:

Get Adobe's Acrobat ReaderThe 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
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    Claim Form
Calvin College   Download
ANY college or university in the state of Florida   Download
The Atlanta College of Art, or LaGrange University   Download
Use this form for ALL OTHER colleges and universities in any other state   Download
     

 


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© Copyright 2004 Heritage Insurance Managers, Inc. All rights reserved
P.O. Box 659570 San Antonio, TX 78265-9570
Phone 800-456-7480 Fax (210)-822-4113