This form is for our insured members only.

If you wish to file a claim against one of our insured members, submit your claim in writing directly to the county, city, school district or other special purpose district.  If you need further instructions on filing a claim, please visit the State of Idaho’s website ( for Idaho Code Statutes.

Per Idaho Statute Title 41, Chapter 13:  41-1331-Any person who knowingly, and with intent to defraud or deceive any insurance company, files a statement of claim containing any false, incomplete, or misleading information is guilty of a felony.  “Statement” includes, but is not limited to, any notice, statement, proof of loss, bill of lading, receipt for payment, invoice, account, estimate of property damages, bill for services, diagnosis, prescription, hospital or doctor records, x-ray test results, or other evidence of loss, injury, or expense.

Submit a Claim

Member Claim Submission

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