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Download a Claim Form

If you’d prefer to download a PDF form, you’ll need to email, mail, or fax your claim to us. To fill out the form electronically, please download Adobe Reader.

Claim Form




How to Send Us Your Claim

Email us, fax 1-914-925-9250, or mail it to Orange and Rockland Utilities, Inc, Claims Department, PO Box 1008, Spring Valley, NY 10977.