{"id":19,"date":"2015-03-26T14:06:41","date_gmt":"2015-03-26T14:06:41","guid":{"rendered":"http:\/\/unicodevelopment1.flywheelsites.com\/?page_id=19"},"modified":"2020-04-02T11:15:44","modified_gmt":"2020-04-02T16:15:44","slug":"report-a-claim","status":"publish","type":"page","link":"https:\/\/unicogroup.com\/report-a-claim\/","title":{"rendered":"Report a Claim"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]With <a href=\"https:\/\/www.unicogroup.com\/work-comp-solutions\/claims-advocacy\/\">UNICO&#8217;s Claims Advocates<\/a> on your side, filing an insurance claim is designed to be as easy as possible. We work for you to ensure that the process goes smoothly.<\/p>\n<p>When you have a claim to file, begin by filling out the claims form below, or contact our claims department directly at 402-434-7200 or <a href=\"mailto:claims@unicogroup.com\">claims@unicogroup.com<\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n<script type=\"text\/javascript\">\n        var gfafPrePopfield = function(formid, fromfield, tofield, inputid) {\n            if (!inputid) {\n                document.getElementById(\"input_\" + formid + \"_\" + tofield).value = document.getElementById(\"input_\" + formid + \"_\" + fromfield).value ? document.getElementById(\"input_\" + formid + 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data-formid='28' novalidate autocomplete=\"off\"><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_28\" \/>\n                        <div class='gform-body gform_body'><ul id='gform_fields_28' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_28_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_28_1'>\n                            \n                            <span id='input_28_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_1.3' id='input_28_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_1.6' id='input_28_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_28_2\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_2' id='input_28_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_28_3\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_3'>Phone<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_3' id='input_28_3' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_28_4\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_4'>Policy Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_4' id='input_28_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_28_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Policy Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_5'>\n\t\t\t<li class='gchoice gchoice_28_5_0'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_5' type='radio' value='Commercial'  id='choice_28_5_0'    \/>\n\t\t\t\t<label for='choice_28_5_0' id='label_28_5_0' class='gform-field-label gform-field-label--type-inline'>Commercial<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_5_1'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_5' type='radio' value='Personal'  id='choice_28_5_1'    \/>\n\t\t\t\t<label for='choice_28_5_1' id='label_28_5_1' class='gform-field-label gform-field-label--type-inline'>Personal<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_7'>Name of the Insured on the Policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_7' id='input_28_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_28_6\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_6'>Type of Claim<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_28_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Auto' >Auto<\/option><option value='Property' >Property<\/option><option value='Liability' >Liability<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_28_24\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_24'>Date of incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input autocomplete=\"off\"  name='input_24' id='input_28_24' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_28_24_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_28_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input autocomplete=\"off\"  type='hidden' id='gforms_calendar_icon_input_28_24' class='gform_hidden' value='https:\/\/unicogroup.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_28_25\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_25'>Address\/Location of Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_25' id='input_28_25' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Auto Claim<\/h2><\/li><li id=\"field_28_26\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_26'>Police Department and Case Number<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_26' id='input_28_26' type='text' value='' class='medium'  aria-describedby=\"gfield_description_28_26\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_28_26'>if applicable<\/div><\/li><li id=\"field_28_37\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_37'>Description of Accident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_37' id='input_28_37' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_39\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_39'>Owner of Insured Vehicle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_39' id='input_28_39' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_28_10\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of Driver of the Insured Vehicle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_28_10'>\n                            \n                            <span id='input_28_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_10.3' id='input_28_10_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_10_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_10.6' id='input_28_10_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_10_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_28_11\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Insured Vehicle Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_11_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_11_col_2' class='gfield_list_col_even' \/><col id='gfield_list_11_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_11_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Year<\/th><th scope=\"col\">Make<\/th><th scope=\"col\">Model<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_11_cell1' data-label='Year'><input autocomplete=\"off\"  aria-invalid='false' aria-required=\"true\"  aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_11[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_11_cell2' data-label='Make'><input autocomplete=\"off\"  aria-invalid='false' aria-required=\"true\"  aria-label='Make, Row 1' data-aria-label-template='Make, Row {0}' type='text' name='input_11[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_11_cell3' data-label='Model'><input autocomplete=\"off\"  aria-invalid='false' aria-required=\"true\"  aria-label='Model, Row 1' data-aria-label-template='Model, Row {0}' type='text' name='input_11[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/unicogroup.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/unicogroup.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_28_35\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_35'>Insured Vehicle VIN<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_35' id='input_28_35' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_28_12\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_12'>Describe the Damage to the Insured Vehicle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_12' id='input_28_12' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_13\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of the Owner of the Other Vehicle<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_28_13'>\n                            \n                            <span id='input_28_13_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_13.3' id='input_28_13_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_28_13_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_13_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_13.6' id='input_28_13_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_28_13_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_28_15\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_15'>Other Driver&#039;s Phone Number<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_15' id='input_28_15' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_28_16\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Other Vehicle Details<\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_16_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_16_col_2' class='gfield_list_col_even' \/><col id='gfield_list_16_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_16_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Year<\/th><th scope=\"col\">Make<\/th><th scope=\"col\">Model<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_16_cell1' data-label='Year'><input autocomplete=\"off\"  aria-invalid='false'   aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_16[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_16_cell2' data-label='Make'><input autocomplete=\"off\"  aria-invalid='false'   aria-label='Make, Row 1' data-aria-label-template='Make, Row {0}' type='text' name='input_16[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_16_cell3' data-label='Model'><input autocomplete=\"off\"  aria-invalid='false'   aria-label='Model, Row 1' data-aria-label-template='Model, Row {0}' type='text' name='input_16[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/unicogroup.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/unicogroup.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_28_17\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_17'>Describe the Damage to the Other Vehicle<\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_17' id='input_28_17' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_19\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Property Claim<\/h2><\/li><li id=\"field_28_22\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_22'>Describe what happened and the damage.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_22' id='input_28_22' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_23\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Liability Claim<\/h2><\/li><li id=\"field_28_27\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_27'>Describe the incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_27' id='input_28_27' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_28\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of the claimant<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_28_28'>\n                            \n                            <span id='input_28_28_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_28.3' id='input_28_28_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_28_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_28_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_28.6' id='input_28_28_6' value=''   aria-required='true'     \/>\n     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gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_31'>Describe the property damage and bodily injury<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_31' id='input_28_31' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_33\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Other Claims<\/h2><\/li><li id=\"field_28_34\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_34'>Describe the incident:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_34' id='input_28_34' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_36\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_36'>Other Information<\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_36' id='input_28_36' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul><\/div>\n        <div 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We work for you to ensure that the process goes smoothly. When you have a claim to file, begin by filling out the claims form below, or contact our claims department directly at 402-434-7200 or claims@unicogroup.com[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":15,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-19","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/unicogroup.com\/wp-json\/wp\/v2\/pages\/19","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/unicogroup.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/unicogroup.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/unicogroup.com\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/unicogroup.com\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":0,"href":"https:\/\/unicogroup.com\/wp-json\/wp\/v2\/pages\/19\/revisions"}],"wp:attachment":[{"href":"https:\/\/unicogroup.com\/wp-json\/wp\/v2\/media?parent=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}