Payment Protection Claims
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Select the form from the list below, print it and follow the instructions on the form for completion. The return mailing address is provided on the form.
NY Residents Only
Installment, Lines of Credit and Other Loans
- Accidental Death Claim Form (USIC and USLIC)
- Continuing Unemployment (ARIC)
- Continuing Unemployment Claim (ABIC)
- Credit life death claim form
- Death Benefit Claim Form
- Death Claim Form
- Dismemberment Claim Form (ABILAC)
- Initial credit/closed end monthly outstanding balance - disability claim form
- Initial mortgage/disability claim form
- Mortgage Death Claim Form
- Property Insurance - Notice of Loss
- Unemployment Claim Form (IUI/Paygard/CEMOB/Unemp-Cred)
Utility Insurance Benefit Activation
NOTE: You must have Adobe Acrobat Reader 4.0 or above to view these PDF files.
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