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  • Community Insurance Agency, Inc., Insurance Services, Northbrook, IL
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Forms - by Seven Corners Plan only

Forms

Here you will find a current collection of Seven Corners' claim forms for our trip/cruise insurance, travel medical, student/study abroad, global insurance, visitor and immigrant medical programs.
Be sure to check back regularly to ensure you receive the most current information.
Here is a link to a free copy of Adobe Acrobat reader. Please make sure you save the form to your computer prior to completing the form.

Travel Medical Forms

Medical Claim Form/Proof Of Loss Form English Download
Medical Claim Form/Proof Of Loss Form French Download
Medical Claim Form/Proof Of Loss Form Spanish Download
Medical Claim Form/Proof Of Loss Form Portuguese Download
Medical Claim Form/Proof Of Loss Form Chinese Download
Medical Claim Form/Proof Of Loss Form – Nationwide Download Now
Payment Authorization Form Download Now

Trip Cancellation/Delay Forms

Baggage Proof Of Loss Form Download Now
Baggage Proof Of Loss Form – Nationwide Download Now
Trip Cancellation Claim Form Download Now
Trip Cancellation Form – Nationwide Download Now
RoundTrip Accident/Sickness Claim Form Download Now
RoundTrip Accident/Sickness Claim Form – Nationwide Download Now
RoundTrip Trip Cancellation Claim Form Download Now
RoundTrip Trip Cancellation Claim Form – Nationwide Download Now
Collision Damage Waiver Form Download Now

Medical Tourism Forms

Bordercross Worldwide Accident/Sickness Claim Form Download Now
Bordercross Worldwide Baggage Claim Form Download Now
Bordercross Worldwide Trip Cancellation Claim Form Download Now

Markel Student Accident Forms

Collegiate Accident Form Download Now
Public K-12 Form Download Now
Private K-12 Form Download Now
Fraternity & Sorority (MAPP) Form Download Now