A claims application must be filed either in
person or by mail with the Minnesota Automobile Claims Bureau. General assistance in
completion of the form can be provided when necessary.
The Minnesota Automobile Assigned Claims Bureau will review each claim application form
to eliminate those obviously ineligible. Apparently eligible claims will be assigned
to one of the Servicing Insurers.
The Servicing Insurers will handle all claims to conclusion. They will keep the
Minnesota Automobile Assigned Claims Bureau advised of the progress and disposition
of all claims.
Download the three-page benefits application directly from this website. The
application is in Microsoft Word 6.0 format.
All compatible web browsers should display the document directly. If not,
you can download this file and open the file within your word processing application of
choice. If the document opens within your browser you can either:
1.) Fill out the form directly within your web browser and print it for submission or,
2.) Print the document and manually fill out the form.
Sunday, October 18, 2010
©2001 Minnesota Automobile Assigned Claims Bureau
Information regarding this website can be directed to the
It is not the purpose of any statement in this website to interpret
the application of benefits under the law in any individual case, and
should not be considered legal advise.