: Authorizes medical providers to share information with Preferred Mutual about medical care you receive that is related to a claim with us. Lightning Affidavit
: Document completed by a service technician to verify the cause of loss to a claimed electronic device. Statement of Loss
: Give complete descriptions of all property that is included in your claim (year/make/model, serial #, receipts, estimates for repair/replacement, etc). Policyholder Notice of Theft
: Document for the insured to describe the details of their loss and list their claimed items. Medicare SCHIP
: The form required to determine Medicare eligibility. Proof of Ownership Guidelines
: Explains the various ways an insured can prove ownership of claimed items. Statement Form
: Form used by the insured party to describe the facts, circumstances and details of their loss. Insured Statement of Automobile Loss
: Form for the insured to document the details of their motor vehicle accident.