Business Travel Accident Claim Forms
You will need
to download the following printable versions of the below forms in PDF
format.
Claim Form-Accidental Death.pdf
ETB Accidental Dismemberment or loss of sight Claim Form.pdf
You will need Adobe's Acrobat Reader. Once downloaded you will need to print the forms and fill them out.
The completed forms may be mailed to:
The Hartford
Attn: Group Life Claims
P.O. Box 2999
Hartford, CT 06104-2999
or faxed to: (860) 843-8567
Phone: (888) 563-1124
The Office of Risk Management, 425 Arguello Way Stanford, Encina Modular A, CA 94305-6207 (07/08)