Download a Claim Form

All forms are in Adobe Acrobat (PDF) format.  
If you do not have the free Acrobat Reader, click the banner below to download.

Simply click on the link to view the appropriate Claim Form.  
You can fill in the appropriate fields and print the form or you can print the form and fill in the information by hand.

Standard Form - Click Here
Use this form for all carriers (UPS, FedEx, DHL etc.) except U.S. Postal Service.  

U.S. Postal Service Claim Form - Click Here
Use this form only for U.S. Postal Service Claims.

If you have a claims question, email , or call PIP Customer Service at 1-800-325-7390.

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