Skip to main content

An Official Vermont Government Website

State of Vermont Department of Financial Regulation

DFR Flood Recovery Resources
Consumer Resources
File a Complaint
Proposed Rules and Public Comment
Media and Newsroom

About Us
Banking
Captive Insurance
Insurance
Securities

Search

About Us
Banking
Captive Insurance
Insurance
Securities

dfr-regulation-insurance-i-1993-04-uniform-claim-forms.pdf

File

dfr-regulation-insurance-i-1993-04-uniform-claim-forms.pdf (37.57 KB)

Contact Information

Vermont Department of Financial Regulation

Kaj Samsom, Commissioner
89 Main Street • Montpelier, VT • 05620-3101
802-828-3301 - Main
833-337-4685 - Toll Free

Division Contacts

Insurance
Consumers: 802-828-3302
Adjusters/Producers: 802-828-3303
Companies: 802-828-2470
Banking | 802-828-3307
Captive Insurance | 802-828-3304
Securities | 802-828-3420

Public Information
Records Custodian: Victoria Hudson
802 828 4872 | Public records/Media inquiries

Employee Information

Office 365
VTHR
Vision

Consumer Resources

File a Complaint
Verify a License
Medicare Supplemental Rates
Health Services Wait Times

Additional Information

DFR Website Feedback
DFR Org Chart
Contact Us
Press Releases

Return to top

Copyright © 2025 State of Vermont All rights reserved. |

Policies
Accessibility Policy
Privacy Policy
Feedback Survey