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FILE  A  CLAIM

Any party filing a claim against any member of our Self-Insurance Pool, must fill out the claim form below and shall also Email  info@AnpcMutual.org  with the following:

1. Accident Report

2. Photos of the Damages incurred

3. Quote from a reputable repair shop showing the monetary amount of damages you are claiming.

 

 

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Accident Claim Form
Were Police/Fire Contacted?
Did any Injuries result from Accident?
Was your automobile damaged?

Successfully submitted. We’ll get back to you soon.

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