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Forms & Endorsements

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CALL US
Phone: (414) 291-5353
Claims: (877) 240 -0533
Fax: (414) 291-5365

CONTACT US: [email protected]
600 West Virginia Street, Suite 101
Milwaukee, Wisconsin 53204-1552
HOURS: Mon-Thurs: 7:30am - 4:00pm & Friday: 7:30am - 1:00pm

CALL US
Phone: (414) 291-5353
Claims: (877) 240 -0533
Fax: (414) 291-5365

CONTACT US: [email protected]
600 West Virginia Street, Suite 101
Milwaukee, Wisconsin 53204-1552
HOURS: Mon-Thurs: 7:30am - 4:00pm & Friday: 7:30 - 1:00pm

DISCLAIMER OF LIABILITY
Although reasonable efforts have been made to ensure that electronic information on the Wisconsin Insurance Plan web site is complete, accurate, and timely, we do not represent that the information is complete, accurate, and timely in all instances. All information is subject to change on a regular basis, without notice.

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Pay Online

By using the Wisconsin Insurance Plan online payment system the insured is authorizing the Wisconsin Insurance Plan’s online payment processor, Official Payments, to directly debit their bank or credit card account for the requested payment amount.
For credit card payments, a $4.45 fee is charged in addition to the premium payment.
For debit card payments and checking or savings account payments, a $1.95 fee is charged in addition to the premium payment.
This fee is separate from the primary obligation being paid. It will appear on the insured’s credit card or bank statement as a separate charge.

FAIR Plan Policy Number:

Insureds Name:

Property Location Address, City, State, Zip:

Forms & Endorsements

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