Submit a New Claim by Email, Fax, or By Using the Form Provided. For a Claim Consultation, Call Our Home Office. Phone: (877) 894-4545 Fax: (817) 887-3312 Email: [email protected] 6340 Lake Worth Blvd #243Lake Worth, TX 76135 Name(Required) Email(Required) FileMax. file size: 100 MB.Message(Required)