Athens Client Claims Portal Access Application - Athens Administrators

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Athens Client Claims Portal Access ApplicationHannah Robrecht2021-04-07T21:18:27+00:00

Athens Client Claims Portal Application

This form is for current Athens clients and provides Athens the necessary information to create your Claims Portal profile.

Name *

First

Last

Email *

Name of Entity You Are Responsible For? *

Name of Parent Program (JPA/Captive) - If Applicable

Purpose for Application?

Report New Workers' Compensation Claims
Obtain Billing Status

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866.482.3535
P.O. Box 696, Concord, CA 94522-0696

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