Here are the types of acceptable insurance: Motor vehicle liability insurance policy. Step 1: Fill out a Medical Claim Reimbursement Form.The Forms and Resources page is designed to make it easier for VHP members to file a claim, appeal a denial of benefits, and learn more about their coverage. Or fill out form SC1 50 (or write a letter) and SC140. CCHIP is a health insurance program in Santa Clara, San Francisco, and San Mateo counties. The workshop will also cover the pressing issue of home insurance for county residents who reside in the WUI. Will fill out form SC-104 Proof of Service.