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  Main Office
  1212 Court St NE
  Salem, OR 97301
  Phone: 503-763-3800
  Fax: 503-763-3900

  Claims Office
  PO Box 1469
  Lake Oswego, OR 97035
  Phone: 503-763-3875
  Fax: 503-763-3901

  Legal Office
  280 Liberty St SE
  Suite 206
  Salem, OR 97301
  Phone: 503-779-1070
  Fax: 503-779-2716

CIS is a member service of the League of Oregon Cities and Association of Oregon Counties
 
Property Claim Form
 
Use the form below to submit a claim regarding property damage to our claims department.

Entity Name  
Contact Person's Name  
Contact's Phone  
Damaged Property Address  
City  
Zip  
Property Description  
Location Schedule / Item #
Date Damage Occurred  
Date Reported to Entity  
Person Reported To
Description of Damage  
Has the property been protectd from further damage?  
Are there any special concerns?
Insert
 
 
   FILING A CLAIM
Emergency Notification Process

Claims Contact Information

WC 801 Claim Form

Automobile Crash Report

General Liability Claim Form

Property Claim Form 
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