Town of Clayton Fire District

Town of Clayton Fire District Accident and Health Policy

The commissioners of the Town of Clayton Fire District are providing an Accident and Health Insurance Policy for the firefighters of the Clayton and Depauville Fire Departments.

The policy and various forms are available here:
Full Policy Document
Quick Reference Information for Filing Claims
The Claim Form
Beneficiary Designation Form

In addition, here is a link to the the NYS Workers Comp Form:
NYS Comp Form (Replaces VF-2)

If you have questions that are not answered in the policy, contact your chief or the board of Fire Commissioners.

The mailing address for claims is:
Provident Agency, Inc.
272 Alpha Drive - P.O. Box 11588
Pittsburgh, PA 15238-0588

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Last Update June 6, 2015