The Member Intake Form is an optional form designed to help you, and your third-party administrator understand and provide the necessary information needed to open a claim file for review with CRL, making the process smoother and more efficient.

How does this impact you? Complete the Initial Member Claim Intake Form or use it as a guide to ensure the critical data points are captured in your notice of loss to CRL. 

Key benefits of the Initial Member Claim Intake Form include:

• Streamlined Data Collection: Ensures all required information is collected upfront, reducing the need for follow-up requests.
• Accelerated Turnaround Time: By providing comprehensive information from the outset, claims can be promptly opened and reviewed by the assigned claims manager.
•  User-Friendly Interface: The form is intuitive and straightforward, making it easy to complete and submit.

 If you prefer a quicker, paperless option, our secure electronic JotForm is the perfect choice. This user-friendly form allows you to submit your claim directly to our company with just a few clicks. Once completed, the form is automatically sent to our team for processing.