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
Go to DVFD Home Page
Last Update June 6, 2015