Claim Forms

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Student Accident Claim Forms

Young Group makes it easy to get the help you need by providing access to the following forms directly from our website. If you do not see your form below please contact our office at 919-846-9798 or info@younggroup.biz.

Please click on the form above for Student Accident Insurance if your education institution is with Gerber Life Insurance Company.

Please click on the form above for Student Accident Insurance if your education institution is with Bollinger.


Form: QBEK 12 Claim Form

Form: QBEK 12 Claim Form (Spanish)

Form: QBEK 12 Claim Form (College)

Please click on the form above for Student Accident Insurance if your education institution is with QBE Insurance Company.