Please make sure to read our Terms and Conditions before downloading and filling out the Transmittal Form for Collection Claim. You can submit the completed form along with all supporting documentation to ERI via by fax.
TRANSMITTAL FORM FOR COLLECTION CLAIM: Download (PDF)
FAX ALL DOCUMENTATION TO: 914-684-2633
PLEASE DO NOT SUBMIT ANY SENSITIVE INFORMATION VIA EMAIL.
If you have any questions, please call us at 914-684-2600. Thank you!
