Claims
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To file for a job claim please send the following documents:
A copy of the railroad notice to attend investigation
A copy of the original letter from the railroad assigning discipline and/or your signed waiver.
Your completed Claimant's Statement
(signed
&
dated)
Please Mail To:
C.P.A. Insurance Company
Post Office Box 250010
West Bloomfield, MI 48325-0010
Fax:
248-539-1680
When we have received these forms, we will begin to process your claim.
If you need other types of claim forms please call toll free
800-432-8245
Download Claimant Statement