Claims & Forms
| COMPANY | CLAIM PHONE # | CLAIM FAX # | REPORTING WEBSITE |
| Travelers/Premier | 877-425-2466 | NA | NA |
| Harleysville | 800-892-8877 | NA | www.harleysvillegroup.com |
| Norfolk & Dedham | Connolly Insurance Agency Inc, 508-238-8778 | NA | NA |
| NGM/National Grange | 877-425-2467 | NA | www.msagroup.com |
| Peerless | 800-522-7152 | NA | NA |
All other carriers contact Connolly Insurance at 508-238-8778.
Workers Compensation Claimants
Refer to your policy kit for the claim department phone number to report a claim or contact us at Connolly Insurance.
FORMS:
All forms are in PDF format. If you need the Adobe PDF plugin to read these forms, please CLICK HERE to download it.