Cherry Guidry
Claims Manager
cguidry@vfistx.com

Marena Jefferson-Williams
Claims Specialist
mwilliams@vfistx.com

VFIS FORMS

Please report all claims to either Cherry Guidry or Marena Williams at 800-252-9435. To expedite a claim, please download the appropriate claim form listed below. The completed claim form should then be emailed to one of our Claims Specialists, or faxed to 512-448-9929.

• Workers Compensation Employer's First Report of Injury or Illness
• Automobile Claim Form
• Equipment Damage/Loss

• Accident/Sickness Claim Report
• Accident/Sickness Physicians Statement
• Accident/Sickness Beneficiary Designation 
• Critical Illness Claim Form
• Critical Illness Accidental Death Claim Form
• Membership Roster
• Property/Incident Claim Form
• Public Safety Officers' Benefits (PSOB) Beneficiary Designation
• The Importance of Beneficiary Designation and Wills

HR HELP LINE
​If you would like to discuss your situation workplace incident or concern with a specialist in employment practices contact our Client Risk Solutions Department at 717.741.7239.

For after-hours emergency service, you may report claims directly to the carriers at the phone numbers listed below:

VFIS (Glatfelter Claims Management)
800-233-1957

Texas Mutual (Workers' Compensation claims)
800-859-5995
www.texasmutual.com