Online Claim Form

We accept your Claim Reporting Form by regular or express mail, fax or online. Download Form here.


To submit your form by fax, send it to (267) 332-0841, or by email to 


You can also submit your claim online here.


P.O. Box 701

Valley Forge, PA 19482

Phone (610) 707-8130

Fax (610) 933-4993

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