Injured Official Claim Form Request

  • Please click the link to start your claim

    Injured Official Claim Form Request

    Once your request has been reviewed you will receive a follow up email from DocUSign with a link to fill out and submit the claim form online for processing with our insurance carrier

    Please Note: This form should be filled out only by the injured official

    If you have any other questions please email Michael Komich secretary@nihoa.com

    Thanks for your help…..

Last updated September 25, 2026.