Accident and Medical Forms

 

Diocesan Insurance Information

Service

E-mail

 

General insurance matters (including certificates)

[email protected]

 

Any existing claims and new claims

[email protected]

 

Any workmen’s compensation matters

[email protected]

 

Defined Benefits (DBL)/ Paid Family (PFL)

[email protected]

 

 

 

 

 

Telephone

 

For all insurance matters except DBL/PFL

716-847-8394

 

Defined Benefits (DBL)/ Paid Family (PFL)

716-847-5581

 

 

Medical Exemption from Required Immunizations Request

Medication Administration Reques Form