
Insurance Claims for Emergency Service Workers
With more than 80 years of emergency service experience, Provident Agency has dedicated and caring claims staff who remain committed to timeliness and accuracy while processing your claim. It remains our goal to treat people with the utmost respect and courtesy. Please call our office toll-free at 800-447-0360 to speak to a claim representative with any questions.

Forms
How Do I File a Claim?
First Notice of Claim Forms
The fields of these forms can be completed online but must be printed and signed prior to being returned to our office. For prompt attention, please fax the forms to our claim’s only fax line at 412-963-0148.
Beneficiary Designation Form
This form may be used to designate the beneficiary for any Provident policy. It can be completed online but must be printed and signed afterward.
Completed Beneficiary Forms should be kept on file with your organization.
Federal Public Safety Officers' Benefit Information

Who to better express our commitment to service than our actual claimants:
- Scott Fleischer, Plumstead Twp FRA, Pennsylvania writes:
"I would like to thank everyone at Provident for all your help and support over the past year and a half. The shock of having a heart attack at my age was more than I could have imagined. Being a firefighter I have thought I might be injured while fighting a fire, but the last thing I would have thought was having a heart attack.
I especially want to thank Mark Schmitt for all his support when I wasn't sure what to do; he was there to walk me through it. Mark was always there to answer my questions and always with a kind and understanding attitude. He just said "leave it to me and I’ll take care of it. You just concentrate on getting better."
Provident helped make a difficult situation more bearable. Your help took a lot of stress off my shoulders, which was a large help to my recovery. I would recommend your company to other fire companies. I think they would be in very good hands having you as their insurance carrier. It would be my pleasure to speak on your behalf if you ever need it. I think every fire company in the country should know what a tremendous service you offer. It has been a year and a half since my heart attack and I still haven't received a dime from workers comp but I never missed a days pay thanks to Provident.
Thanks again,"
The opinions expressed in these testimonials are those of the writer and reflect that individual's experience with Provident Agency, Inc.
View additional insurance testimonials and volunteer firefighter stories.
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