Medical Malpractice Claims History and Insurance Verification

If you wish to have the Legal Affairs Office prepare a claims history and insurance verification letter for the time at which you were employed at Georgia Regents University, please complete the attached Authorization and Release form and fax to 706-721-8014 or email to Legal@gru.edu. Please note the instructions on the form and that there is a $20 processing fee. Please remit payment by means of a check, payable to the “Georgia Regents University,” and mail to: Georgia Regents University, Cashiers Office, 2004 Kelly Administration Building, 1459 Laney Walker Boulevard, Augusta, Georgia 30912.

Claims history request require several days turn around time, therefore, please do not expect to receive the requested information the day after you send your request to the Legal Affairs Office.

Claims History and Insurance Verification Authorization Form