Insurance companies can utilize this letter template to seek reimbursement from the person or entity legally responsible for a loss. STEP 1: USING BLACK INK ONLY, Fill out the "Civil Cover Sheet." â–« Write in "Maricopa" as the county. "Subrogation" means to substitute one party for another in respect to an insurance claim or debt. File a Consumer Complaint with us. After you complete the online Consumer Complaint form, the system will allow you one opportunity to attach the documents. During the Phase I Examination, the examiners reviewed a sample of 50 subrogation claims from a population of 251 and found one exception. The Plaintiff, above named, complaining of Defendants, above named, alleges and says as follows: 1. The claims dispute must: Specifically state the factual and legal basis for the relief requested. For more information, or to file a complaint, please contact the Title VI Coordinator at (602) 254-6300.