FORMS
E-mail all forms to mwoods@detsif.com
cecilia.hurst@tristargroup.
eduardo.roman@tristargroup.net
Please email claims to all 4 email addresses.
Note Tristar will assign a claim number and adjuster.
If this is after hours and you need a prescription filled please use this card.
Claim Forms
*You can still access the downloadable Word Doc files by clicking the link on form name.
Instructions:
1. Download and save the forms to your computer.
2. Fill out the repetitious information and save the form again.
3. Filling out a form is a simple “type and tab” process. After completing a form, print and sign a copy for your files. You may also save the form to your computer.
4. E-mail the form to claims@detsif.com or FAX the form to (409) 384-7953. To e-mail do a “file, send to, mail recipient (as attachment)”.
5. We acknowledge receipt of all e-mailed forms by return e-mail. If you do not get a response from us you can assume that the form was not received.