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Electronic Submissions - New Claims

Step 1:

Complete the following form that matches the type of loss you are reporting:

Save the file document with the following title: <insert Company Name> New Claim <insert Insured Name>
Example:  UPCIC New Claim John Jones

Step 2:

  • Obtain electronic copies of any additional supporting documentation.
    • If someone other than the policyholder is reporting the claim, provide the letter of representation or the assignment of benefits contract.
    • For loss assessment claims, provide the board approved Assessment Letter along with the breakdown of assessment charges being billed to the policyholder.
  • Save each file document with the following title: “<insert Company Name> New Claim <insert Insured Name> Attachment <insert #>”
    • Example:  UPCIC New Claim John Jones Attachment 1
    • If you have more than one attachment, number them consecutively

Step 3:

  • If you are able to combine all the files into one zip file, please combine them to minimize the number of files to attach to your submission
  • To create a zip file in Windows:
    • Select all the files you want to submit.
    • Right-click one of the files. A menu will appear.
    • In the menu, click “Send to” and select “Compressed (zipped) folder”.
    • Save the zip file that appears.

Step 4:

  • Submit your information (see below)



  • Enter your personal email address in the “From” field
  • Enter the following email address in the “To” field:
  • Enter your personal email address again in the “To” field so you will receive a copy of the email
  • Enter the following on the subject line: “<insert Company Name> New Claim <insert Insured Name>
    • Example: XYZ Ins Co New Claim John Jones
  • Add a brief message regarding the total number of files attached
    • Example:  Number of files attached = 1
    • Note: A zip file containing multiple documents will only be 1 attachment.
  • Click the radio button to send the file securely
  • Complete the ‘captcha’ request

  • Select Upload to attach the file(s) you are intending to submit.
  • Validate that each uploaded file shows more than 0.00 KB/MB/GB, etc. If a file shows 0.00, it means the file did not upload.
  • The maximum file size that can be submitted in one email is 2GB.



  • Select the Drop Files Off button to send the files to
  • Retain a copy of the email that you receive that was sent to your personal email.
  • Retain a copy of the “successful send receipt” which confirms that your email was delivered.
    • NOTE:  If you are sending multiple emails from the same email address you may only receive a “successful send receipt” for the first email submission.



Please note that the Florida Receiver email listed above is for New Claims Submission (Acord Form) only and is not used for general communications.

Any other inquiries should be submitted by contacting the Department using this link:  Contact Us | Receivership Services Portal (  The Department will review your inquiry and contact you accordingly.  You also may contact the Department by calling (850) 413-3081 or toll free at 1-800-882-3054.  Your inquiry will be directed to the appropriate staff member for review and handling.