Report a Claim

Starting your claim is fast and convenient using our online reporting form.

For Physicians Trust or Malpractice Trust: Fill out the form below and choose the type of claim you need. After submission, our team will contact you regarding the status of your claim.

For Workers’ Compensation claims: Download the fillable PDF form and email to info@LHATrustFunds.com.

Additional Claim Reporting Methods

Early Event Reporting
If you are a current ClearSight user, please report incidents through the Early Event Reporting Tool.

Phone
Report a claim or incident over the phone by calling us at 225.272.4480.

Fax
Report a claim or incident by faxing us at 225.272.1090.

Not Sure What Types of Incidents to Report?

Access our General Liability and Medical Malpractice Early Event Reporting Guides to learn more about the incident criteria and when to report your claim.

Start Your Claim Today

Your Name (required)

Email (required)

Phone Number (required)

Type of Claim (required)

Date of Incident (required)

Facility Name (required)

Parties Involved (required)

Brief Description Of Incident: (required)