Bituminous First Report of Claim Online Form
Software Requirements
You must have Acrobat Reader 4 or above and the Acrobat plug-in installed in your browser to fill out the form online. If you have passed through the "Response" page by choosing "Click Here for Online Claim Form" and a warning box appears, you do not have the required version of this software on your computer or the software is not correctly installed.
Acrobat Reader is available online at no charge from Adobe. To install this version on your computer, click on the Acrobat Reader icon below to download.
Other Tips
Use standard keyboard commands to enter information into the Report fields. Report promptly and include as much information as is available at this time. If, for any reason, this claim requires an immediate response, please report the claim by telephone to your Bituminous claims office.
The Report's only required fields are the name, telephone and state, appearing in the section "Person Reporting Claim" near the end of the Report.
For a hard copy of the Report form, you can print before you submit electronically to Bituminous.
To save a digital copy of the completed form for printing at a later date:
1. Submit the form to Bituminous
2. The information entered in the form fields will be merged with the form and displayed in your browser window with the following instructions (in red) as well as buttons to "Save" and return to the "Bituminous Home" page
3. Click on the "Save" button
4. A dialog box will display allowing you to name the file and choose the location on your hard drive to which you will save your digital copy
5. If your browser chooses a file name for you, just rename the file making sure that you end the file name with .pdf
6. When you have successfully saved a digital copy to your hard drive, choose to return to the Bituminous Home page.
If you are not able to submit a First Report of Claim online, see "To report by telephone" on the "How to Report a Claim" page.
You must have Acrobat Reader 4 or above and the Acrobat plug-in installed in your browser to fill out the form online. If you have passed through the "Response" page by choosing "Click Here for Online Claim Form" and a warning box appears, you do not have the required version of this software on your computer or the software is not correctly installed.
Acrobat Reader is available online at no charge from Adobe. To install this version on your computer, click on the Acrobat Reader icon below to download.
Other Tips
Use standard keyboard commands to enter information into the Report fields. Report promptly and include as much information as is available at this time. If, for any reason, this claim requires an immediate response, please report the claim by telephone to your Bituminous claims office.
The Report's only required fields are the name, telephone and state, appearing in the section "Person Reporting Claim" near the end of the Report.
For a hard copy of the Report form, you can print before you submit electronically to Bituminous.
To save a digital copy of the completed form for printing at a later date:
1. Submit the form to Bituminous
2. The information entered in the form fields will be merged with the form and displayed in your browser window with the following instructions (in red) as well as buttons to "Save" and return to the "Bituminous Home" page
3. Click on the "Save" button
4. A dialog box will display allowing you to name the file and choose the location on your hard drive to which you will save your digital copy
5. If your browser chooses a file name for you, just rename the file making sure that you end the file name with .pdf
6. When you have successfully saved a digital copy to your hard drive, choose to return to the Bituminous Home page.
If you are not able to submit a First Report of Claim online, see "To report by telephone" on the "How to Report a Claim" page.