PDF "Fillable" Forms

NOTE: Please download the PDF forms to your computer before filling them out. Please be sure to follow instructions listed on the form. Please “Type ” your information into the form, making sure to complete each section in its entirety. Print, Sign, Date and Sign In to the IntegraFlex Employee Portal to upload your claim form and documentation or email to: claims@integra-flex.com or Fax to: (855-673-6711) to IntegraFlex. By doing so, you will ensure your submission is processed correctly and in a timely manner.

PDF "Fillable" Claim Forms:

Submit A Claim