Bollinger Lacrosse: Check Your Claim Status

Claim Status

As an added service, Bollinger offers you the opportunity to check the status of your claims online. One of our claims representatives will respond promptly to your request via e-mail.

Note: Our office hours are 8:00am to 5:00pm EST Monday through Friday.

Please complete the form below.

* Your Name:
* Your E-mail Address: (so we can respond to you)
* E-mail Address Confirmation:
* Claimant Name:
Claimant City or State:
Sports Organization or League Name:
Date of Injury:
Description of Injury:
* Questions or comments:
Would you like a follow up call?	Yes No
Number where you can be reached?
Inquiring on behalf of:	Claimant Provider

BollingerLax. Count on us for more.