Claims Forms

NOTE: Due to Proctor’s recent email migration, we are temporarily requesting that claims be submitted directly over the phone at (800) 424-8828. If you or a teammate recently submitted a claim using any of the forms below, contact Proctor immediately at the phone number listed above to ensure your claims is handled.

Click on the type of claim that is being reported

For your protection California law requires the following to appear on this form: “Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison”