Claims Forms

To make it easier for you to request changes to your policy or contract, we have made the most common claims forms available online.

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To File a Claim:

(If your state is not included in the list, please contact Roger Menard Insurance Claims at the number or address below.)

2. Select the type of claim you are filing:

3. Print the form.

4. Fill out the form.

5. Sign the form.

6. Have a witness or doctor sign the form, if applicable.

7. Mail the signed form to:

Attn: Claims Roger Menard Insurance PO Box 19038

Greenville SC 29602-9038

Get help filing claims:

Life Claims

Health Claims

Disability Claims

(864) 609-8366

(864) 609-2177

(864) 609-2178

Help is also available at 1 (800) 551-8354

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Author: car health