• Home
  • Get A Quote
  • Customer Service
  • Loss Control
  • Refer a Friend
  • About Us
  • Location Map
  • Employee Directory
  • Privacy Policy
  • Contact Us
logo
Home
  • HOME
  • AGENT INFO
    • Appointment Information
    • Commission EFT Form
    • Our Markets
    • Submission Requirements
    • Refer a Friend
    • Important Files
    • Billing and Payment Options
    • Forms Required When Binding CoverageImage of right arrow
      • Auto Draft Form
      • Policyholder & Surplus Note Agreement
      • Officer Elect-Reject Form
      • ERM-14
      • No Loss Letter
  • POLICYHOLDER INFO
    • Accident Checklist
    • Report An Injury
    • Panel of Physicians
    • Claims Kit Information
    • Billing and Payment Options
    • Pay As You Go (PayGo)
    • Online Payroll Reporting Tutorial
    • Pay Online
  • EasyPAY (Click Here)
  • Register DIRECT DEBIT
  • ABOUT UBIC
    • About Us
    • Learn More About UBIC
    • Our Markets
    • Testimonials
    • Privacy Policy
    • UBIC FACTSImage of right arrow
      • Program Highlights
      • Sample Rates
      • Important Files
      • Our Markets
  • LOSS CONTROL
  • CONTACT
    • Employee Directory
    • Contact Us
    • Location(s)
Report an Injury Report an Injury

Auto Insurance protects you against financial loss if you have an accident.

Read More
Pay Online Pay Online

A standard policy insures the home itself and the things you keep in it.

Read More
Online Quote Find An Agent

Discover the perfect insurance options to meet your specific and unique needs.

Read More
Become an Agent Become an Agent

Browse a variety of insurance options in order to find the right one for you.

Read More
Meet Your Marketing Rep Meet Your  Rep

Learn about different health coverage options that fit your specific needs.

Read More
Get UBIC Pens! Get UBIC Pens!

Finding insurance doesn't have to be difficult. We do the work for you.

Read More
Home > Claim Information

Claim Information


Available Claim Forms

To submit a claim use one of the appropriate company links below. If none are available for your particular claim, please contact us directly.

Report A Claim

Georgia State Board of Workers' Compensation
Georgia State Board of Workers' Compensation

Georgia State Board of Workers' Compensation

State Board Website

URL:
http://sbwc.georgia.gov/portal/site/SBWC/

NCCI Holdings, Inc.
NCCI Holdings, Inc.

NCCI Holdings, Inc.

URL:
http://www.ncci.com

Office of Insurance and Safety Fire Commissioner
Office of Insurance and Safety Fire Commissioner

Office of Insurance and Safety Fire Commissioner

Department of Insurance

URL:
http://www.gainsurance.org

Overland Solutions
Overland Solutions

Overland Solutions

Overland Solutions

URL:
http://www.olsi.net

epaypolicy
epaypolicy

epaypolicy

UBIC epay

URL:
https://united-business.epaypolicy.com/

Billing Phone:
678-766-8242 ext. 213
Facebook
Twitter
LinkedIn
Instagram
Carriers
Carriers
Carriers
Carriers
Carriers
Twitter Logo

Resources

Home About Us Get a Quote Customer Service Newsletter Contact Us

Contact Us

  • 400 Franklin Road, Suite 240
  • Marietta, GA 30067
  • 678.766.8242
© Copyright. All rights reserved.
Powered by Insurance Website Builder