Fill Out The Form Below to
File Your Tri-PAC Claim
By clicking the above you acknowledge: Any person who knowingly, and with intent to defraud, files a statement of claim containing any false or misleading information may be guilty of fraud, and may face criminal penalties in accordance with state law. By clicking you acknowledge that you understand your coverage and that you are allowed only ONE CLAIM per year whether you are approved or not. If your claim is NOT APPROVED you will not be able to file another claim for up to 1 year.