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Get Insurance Incident Form 2021-2024

Business hours or on the weekend, call (866) 718-1947. This number is reserved for true claims emergencies after business hours and weekends. Complete all items to the best of your ability, sign and date page 2, and immediately send this incident report form to newclaims insurancefornonprofits.org Broker: Please submit Incident Report with Loss ACORD to newclaims insurancefornonprofits.org. General Information ANI/NIAC Policy Number Name of Nonprofit Organization Name of Contact Title Nonp.

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