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Claim Information

The MPCGA is not an insurance company, and the statutory coverage provided by the MPCGA pursuant to the Property and Casualty Guaranty Association Act, MCL 500.7901 et seq., may not coincide with the coverage available under the policy of the insolvent carrier. In order to assist us in determining coverage we ask that you complete the Statement of Claim and the Auto – Personal Injury Protection (PIP) or Workers’ Compensation forms. The completed form(s) can be mailed to P.O. Box 531266, Livonia, MI 48153-1266.

The following forms require Adobe Reader:

Statement of Claim Auto – Personal Injury
Protection (PIP)
Workers’ Compensation
Statement of Claim Form Auto – Personal Injury Protection (PIP) Auto – Personal Injury Protection (PIP)