These forms are now fillable forms to make things easier for all of you to navigate, complete and save an electronic copy for any future use.
GENERAL, AUTO & EDUCATORS LEGAL LIABILITY & AUTO PHYSICAL DAMAGE LOSSES CLAIMS
- Complete
- Read
- If uncertain, call Qual-Lynx at (609) 653-8400
- Follow
- Complete
- Forward copies to Qual-Lynx with
- Claim Transmittal Form
Qual-Lynx
100 Decadon Drive
Egg Harbor Township, NJ 08234
- Claim Transmittal Form
- Forward copies to Louis Greco, Esq. with
- Claim Transmittal Form
Louis Greco
800 Route 50, Suite 2B
Mays Landing, NJ 08330
- Claim Transmittal Form
For Questions or Issues Regarding a Filed Claim contact:
- Qual-Lynx Liability Unit Supervisor
Ms. Barbara Maclean
Office: 609-833-2916
Fax: 609-601-3188
Email: bmaclean@qual-lynx.com
PROPERTY LOSS CLAIM
- Property Loss Claim Advice
- Property Loss Claim Pointers
- Emergency Property Damage Claims Requirements and Response Agreement
- Complete
- Forward copies to Qual-Lynx with
- Claim Transmittal Form Qual-Lynx
100 Decadon Drive
Egg Harbor Township, NJ 08234
- Claim Transmittal Form Qual-Lynx
For Questions or Issues Regarding a Filed Claim contact:
- Qual-Lynx Property Unit Supervisor
Mr. Joe Lisciandri
Office: 609-601-3191
Cell: 609-402-5218
Fax: 609-601-3192
Email: jlisciandri@qual-lynx.com
ENVIRONMENTAL (MOLD) CLAIM
- Call Beazley Environmental Claims at (800) 347-4384
- Complete or have completed
- Forward copy of completed form to Beazley Claims
- Fax: (860) 679-0247
Email: enviro.claims@Beazley.com
- Fax: (860) 679-0247
- Contact one of the JIF Administrators
- Scott Tennant
Phone: (856) 446-9181
Email: scott_tennant@riskprogramadministrators.com - Brad Hoffman
Phone: (856) 446-9132
Email: brad_hoffman@riskprogramadministrators.com
- Scott Tennant
CYBER LIABILITY CLAIM
In the event of an actual or suspected breach incident, click on the link below to complete claim form and Data Breach Hotline number:
SPELL JIF Cyber Incident Report Claim Form and Hotline Directions
SPELL JIF Policy # 1000600296201 for the Policy Period: 07/01/20 to 07/01/21
For additional assistance, contact one of the JIF Administrators
- Craig Wilkie
Phone: (856) 446-9128
Email: craig_wilkie@riskprogramadministrators.com
- Scott Tennant
Phone: (856) 446-9181
Email: scott_tennant@riskprogramadministrators.com - Brad Hoffman
Phone: (856) 446-9132
Email: brad_hoffman@riskprogramadministrators.com
STUDENT ACCIDENT CLAIM
To access a Claim Form, please click below:
- K-8 English 2020-21 Student Accident Form
- K-8 Spanish 2020-21 Student Accident Form
- K-12 English 2020-21 Student Accident Form
- K-12 Spanish 2020-21 Student Accident Form
For Questions or Issues Regarding a Claim contact:
- Program Claims Coordinator
Ms. Fran Eddis
Phone: 856-890-7134
Fax: 856-673-5927
Email: feddis@hig.net - Program Service Manager
Ms. Bonnie Ridolfino
Phone: 856-890-7138
Fax: 856-673-5958
Email: bridolfino@hig.net