Claims Reporting

//Claims Reporting
Claims Reporting 2018-03-01T18:58:42+00:00

The following forms are now fillable forms so you can electronically complete and save to your computer for any future use. These fillable forms are optional, handwritten forms are still acceptable.  For a copy of the Claims Coor­di­na­tor Hand­book, please con­tact Kristi Kristie in the JIF Administrator’s office, (856) 446‑9136.

*PLEASE NOTE* You still must follow the proper claims reporting procedures, contacting all appropriate parties.  These forms CANNOT be submitted online.


General Procedures –  Click HERE to View Claims Roadmap Information

Claim Transmittal Form Cover Sheet

Supervisor Incident Report

Supervisors Incident Report Instructions 


Property, Automobile Physical Damage Claims

Acord Property Loss Form

Acord Automobile Loss Notice


Liability

Acord General Liability Notice of Occurrence Claim


Workers’ Compensation

First Accident Report-Qual-Lynx

Accident Checklist

Supervisor Incident Report

Supervisors Incident Report Instructions 

Participating Urgent Care Providers Gloucester, Salem, Cumberland, Cape May February 2018