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To submit a claim, please click
and use the appropriate form. You can fax it or email it to
us.
Retail
NSF
Subrogation
Ambulance
REQUIRED DOCUMENTATION FOR LITIGATION
Subrogation
- Police report
- Medical bills
- Property damage
appraisal
- Receipts of
claim pay out
Medical claim
- Copies of med
bills
- Patient
information
- Proof of
co-pay/insurance payment
Retail
- Copy of contract
- Invoices
- Credit report
for service (where applicable)
- Debtor
information
- Personal info
- Business info
NSF/Closed
Account
- Personal or
business info
- Account info
- Statements or
proof of balance
- If loan default
docs on the loan
Ambulance
claim
- Patient
information
- Police report if
for auto accident or property damage
- Proof of
co-pay/insurance payment
- Copy of invoices
***This
documentation is helpful but not entirely necessary for litigation
we will always work with what is available***
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