Gov or faxed to 717-772-1550. To receive an update on a previously reported claim, please complete this form.You will be contacted promptly. â—‹ All fields must be completed. To file a claim against the City for bodily injury, auto, and property damage, you must complete the General Claim Form. To file a claim for VA Life Insurance online, you will need to complete VA Form 29-4125e, Claim for One Sum Payment and attach the Veteran's death certificate. Rights Coordinator, 1901 Market Street,.