A notice of claim must be filed in writing. To file a claim electronically, select, download, and save the appropriate claim form from the eClaim Claim Forms list below.To enable us to determine if you are entitled to any No-Fault benefits, please complete and immediately return the enclosed. The forms can be filled in on the computer. Contact Bronx State Farm Agent Hector Camilo at (718) 737-9727 for life, home, car insurance and more. Get a free quote now. Contact Bronx State Farm Agent Calvin Charles at (347) 281-5000 for life, home, car insurance and more. Most often, the hospital will contact your insurance company directly. If you were not at fault, however, the other person's insurance company may pay the bill. With the ratification of the 2023 DOE-UFT contract, an OP200 form is no longer required for LODI applicants.