Fax cover sheet for an insurance claim

Put your claim number and policy number on the sheet, so the pages can be matched to your claim.

What goes on a cover sheet

Who it's for and their fax number, who it's from and how to reach you, the page count including the cover, and a one-line subject. The page count lets the recipient see that nothing went missing.

Need the number? Find an official fax number in our directory, with the source and the date we checked it.

The cover sheet is made in your browser. Nothing you type is sent to us.