Roman Catholic Archdiocese of Newark: Claim Forms


Quick Links:


Choose the appropriate claim form.

Questions about claims? Call us at 866-267-0092.



For students who purchased the individual dental accident plan.


For Schools: All schools



For injuries that occur during school sponsored activities.


For Schools: All schools



For students who purchased the Voluntary Accident Plan covering non-school related injuries.


For Schools: All schools



For injuries that occur during an interscholastic athletic team activity.


For Schools: All schools



Para los lesiones que occurren durante las actividades patrocinades por la escuela.


For Schools: All schools



Para los lesiones que occurren durante una actividad de equipo atleticos interescolares.


For Schools: All schools