Thirtythree years of subrogation litigation experience has distilled ten of the most common mistakes which we see clients continuing to make. Complete the Subrogation Questionnaire below and submit.If you have any questions regarding this matter, please feel free to call us toll-free at 866-738-9644. Insurance companies can utilize this letter template to seek reimbursement from the person or entity legally responsible for a loss. I have to pay deductible and rental expenses out of pocket and Geico will attempt to recover from the at fault drivers insurance company. Paper claims (CMS 1500 and UB-04 forms) may be sent to the addresses indicated, unless otherwise noted on the member's ID card. The Plaintiff, above named, complaining of Defendants, above named, alleges and says as follows: 1. Insurance Information. Satus. I am the insured person associated with this complaint. Let's go back to our John and Bob example.