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1-866-701-4868
1-630-439-1022

1275 W. Roosevelt Rd. (Ste #111)
West Chicago, IL 60185

 

When making a Claim, Please click the following link to download the claim form
After Downloading the form, please print and fill as much information as possible.

After filling out the form, please attach

·         Supporting Invoices

·         Statement of Account

·         NSF Check

·         Other documents you feel necessary

Upon completion, please fax the Claim Formwith the above supporting documents to (630-439-1024)

Download claim form