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People Services Careers Affiliations |
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Microsoft Word Format
- Download the Customer Request Form in Microsoft Word format (above).
- Open MDClaims_RequestForm.doc in Microsoft Word.
- Fill out the template.
- Save the file.
- Send the document to Maryland Claims Investigation via email, fax,
or mail.
Email: mdclaims@mdclaims.com
Fax: 410-256-7520
Mail: P.O. Box 99, Perry Hall, MD 21128
PDF Format
- Click on the Customer Request Form in PDF format (above).
- The MDClaims_RequestForm.pdf should open in Acrobat Reader.
- Print the form.
- Fill out the form.
- Send the document to Maryland Claims Investigation via fax or mail.
Fax: 410-256-7520
Mail: P.O. Box 99, Perry Hall, MD 21128
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| Maryland Claims Investigation, Inc. |
P.O. Box 99 | Perry Hall, MD 21128 | 410-256-6161 | Contact Us |