Claim Forms

Click on the forms below to download a printable copy. Forms are saved in .pdf format. You will need to have Adobe Acrobat Reader® on your system to veiw and print these documents. If you do not have Adobe Acrobat Reader® on your system, Click Here.

Accident Claim Form - Preferred Financial Corporation
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Dental Claim Form - Dental Network of America
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Policy Service Request Form - Preferred Financial Corporation
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Policy Service Request Form - United Insurance Co. of America
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Policy Service Request Form - Allstate
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Claim Form - American Heritage
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Multi-Lines Agency, Post Office Box 12082, Tallahassee, Florida 32317. Phone or Fax (850) 906-0662