Medical Malpractice Claims History and Insurance Verification


 


If you wish to have the Legal Affairs Office prepare a claims history and insurance verification letter for the time at which you were employed at Augusta University, please complete the attached Authorization and Release form and fax to 706-721-8014 or email to Legal@augusta.edu. Please note the instructions on the form and that there is a $20 processing fee. Please remit payment by credit card (Visa or Mastercard) by calling 706-737-1767 or by means of a check, payable to the “ Augusta University,” and mail to: Augusta University, Cashiers Office, 2500 Walton Way, Payne Hall, Room 4B, Augusta, GA  30904.

Claims history request require several days turn around time, therefore, please do not expect to receive the requested information the day after you send your request to the Legal Affairs Office.


Claims History and Insurance Verification Authorization Form