These services are available to all MCSIP members except Fire & Rescue Services and City of Gaithersburg.
For Property claims, you can use e-mail, fax, telephone or the Internet to report a claim. Before using any of the methods, make certain you have the following information:
Standard Report Information
- Agency name, address and location code
- Claimant information, please include phone number and address
- Date the accident occurred
- Location of the accident and any witnesses
- Date and time client was notified of the incident
- Any additional relevant information
View the Location Code Directory here
Reporting Methods
| Claims can be sent via e-mail to The Network. You must follow these procedures when sending: - In the Subject Line you MUST have: Montgomery County Self Ins (003104) VDN 4893 - In the Body of the e-mail, include the standard report information above - Provide your name and phone number - E-mail the report to tnwclaims@tnwinc.com |
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| Fax | Fax the report to 800-748-6159 via the Network. If reporting by fax, please include the fax cover sheet that has been provided or available here. Make sure the items you are faxing are clear and legible. The first report representative will receive your fax and submit the results electronically to the handling MCSIP claim office. |
| Telephonic | Call 888-606-2562 via The Network. The phone will be automatically answered "Montgomery County Self-Insurance Program, first report of injury." A telephonic first report representative will receive your call and prompt you through the questions necessary to complete the report. |
| Internet | 1) Report using Risxfacs.com, for those with User ID's.
2) Report using ClaimZone.com/reporter (the member User ID and Pass Code are required). Download the ClaimZone Reporter User's Guide for more information. |
Questions? Call MCI at (703) 817-0407.