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| If you are the contact for the claim and you do not hear from us within 24 hours (business days), please call 704-927-2860 and ask to speak to a claims representative. |
You must have ADOBE Reader 9 installed to view these forms. The free ADOBE Reader can be downloaded from the ADOBE website (). |
If you are faxing the form: the "Print Form" button located at the bottom of the form will print the form for you to fax. The "Save to Disk" button located at the bottom of the form will save the form to your computer in a PDF format. You can then print the PDF for faxing. Please keep a copy for your records. Fax the completed form to 704.927.2867, Attention: Claims. |
If you are emailing the claim: click the “Email this form to Synergy” button located at the bottom of the form. Your email client will open a new email with the form attached. You may include any additional information in the body of the email. Click send. Your email will be sent to Synergy. |
If you use an email client such as Yahoo, Google, or Hotmail, please click the “Save to Disk” button. Then attach this form to an email addressed to claims@synergyinsurance.net. |
Click here for Claim Reporting Forms
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