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Human Resources – Liability

Texas Association of Counties
Loss Sedgwick CMS Liability Insurance
1210 San Antonio
Austin, TX 78701
1-800-456-5974
Adjuster: Susann Honaker

Forms

Auto Physical Liability – General Liability (APL – GL)
Employee Accident-Loss Investigation Report
General Liability Loss Report
Auto Physical Damage Loss Notice
Auto Liability Loss Report

Note: Supervisors and/or Department Heads to fill out the form, print it, and finally email it to:

Susie Marfileño – Retirement Specialist
smarfileno@co.cameron.tx.us

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