Please report all claims to one of our Claims Specialists. To expedite a claim, please download and fill the appropriate claim form below.
The completed claim form should then be emailed to one of our Claims Specialists, or faxed to 512-448-9929.

VFIS FORMS

• 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
• SFFMA - Critical Illness Claim Form
• Membership Roster
• Property/Incident Claim Form
• Beneficiary Designation Form

Cherry Guidry
Claims Specialist
cguidry@vfistx.com

Marena Jefferson-Williams
Claims Specialist
mwilliams@vfistx.com

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

800-233-1957

800-859-5995

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.

717-741-7239