Claims

Steps to Submit a Claim:

1. Download claim form

2. Complete claim form

3. Save claim form to your computer

4. Submit claim form via email or fax

Worker’s Compensation

Claim Form

Send Worker’s Compensation Claim Form to United Heartland at:

fax 262-787-7701 or e-mail [email protected]

To immediately report a Worker’s Compensation Claim:

24 Hour Claim Line 1-800-258-2667

Denise Kawczynski, Senior Claims Representative

Direct: 262-787-7646

Liability & Auto Physical Damage

Claim Form

Send Liability Claim Form to Statewide Services at:

To immediately report a Liability Claim:

24 Hour Claim Line 1-877-204-9712

Property (Municipal Property Insurance Company)

Send Property Claim Form to Municipal Property Insurance Company at:

fax 612-766-3099 or email [email protected]

To immediately report a Property Claim:

24 Hour Claim Line 1-877-278-4165

IF IN DOUBT TO REPORT A CLAIM, CALL US.