Submit Claims

Use this simple E-mail form to send us the claim you would like to assign to us. We will get it faster than a Faxed claim mainly because you have to take or send the claim to your faxing dept. then wait. The following boxes allow you to state WHO, WHAT, WHERE, and WHEN to describe your claim. We will contact you if additional information is needed.

Submit Claim Form

Name:
E-Mail Address:
Company you represent:
Company Phone Number: Fax:
Company Address 1:
Company Address 2:
City: State:
Zip Code:
Enter your Claim Number:
Enter the Insured Name:

Please enter your Claim Facts and Narative in the area below:

Submit Claim Reports

Would you like for us to submit reports to your company by E-mail? We can do it. We can send you everything including the color photos scanned in, the medical bills, the police report, the estimates etc., or just reports. You can also send us memos by E-Mail. If you are interested in that please put your name, address, and phone number in the boxes below, and we will contact you.

Submit Claim Report Form

Name:
E-Mail Address:
Company you represent:
Company Phone Number: Fax:
Company Address 1:
Company Address 2:
City: State:
Zip Code:

Frontier Adjusters
P.O. Box 1567
Davenport, IA 52809
Phone Number: 1-(563)-285-4755 or 1-(309)-762-1626
Fax: 1-(563)-285-9809
Your Contact: Frank Clapp, socrates@netins.net

Directory available upon request

Webmaster - Steve Kolb, steve@brokebox.com of Broke Box
Webpage Design - Steve Kolb
Copyright © 1997 Frontier ® Adjusters

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