{"content":[{"text":"CITY OF FRAMINGHAM \n TRAVELERS INSURANCE CLAIM FORM \n Please submit insurance claims directly to the City of Framingham’s Insurance Agent \n NorthStar Insurance Services online at claimdept@nsins.com","bbox":{"left":0.067843,"top":0.057318,"width":0.8952220000000001,"height":0.126097}},{"text":"Claims submitted by mail or fax should be addressed to \n City of Framingham \n Office of the Chief Financial Officer \n Memorial Building, 150 Concord Street, Room 123, Framingham, MA 01702 \n 508-532-5425 (phone) | 508-532-5409 (fax) |","bbox":{"left":0.249641,"top":0.199374,"width":0.5547869999999999,"height":0.09123500000000001}},{"text":"Directions: Complete the information below. Email, mail or fax to the above. Attach any additional documentation \n to support your claim (i.e. estimate or invoice, correspondence, narrative, photo, Police Report, etc.), if available. \n Online claim submissions will be received directly by the City’s insurance agent and forwarded to the City’s \n insurance carrier, Travelers Insurance. A representative from Travelers will be assigned and contact you. \n The CFO’s Office is unable to answer questions about a submitted claim. If you have any questions \n regarding the status of your claim, please contact Travelers at (800) 238-6225.","bbox":{"left":0.073529,"top":0.302014,"width":0.8460070000000001,"height":0.10219600000000001}},{"text":"Insurance claims against municipalities have \n governed by Massachusetts General Law.","bbox":{"left":0.073529,"top":0.416446,"width":0.340057,"height":0.03450399999999998}},{"text":"specific","bbox":{"left":0.422631,"top":0.416446,"width":0.056012000000000006,"height":0.018595000000000028}},{"text":"standards","bbox":{"left":0.487729,"top":0.416446,"width":0.06797199999999998,"height":0.018595000000000028}},{"text":"to","bbox":{"left":0.56482,"top":0.416446,"width":0.014117999999999964,"height":0.018595000000000028}},{"text":"determine","bbox":{"left":0.587957,"top":0.416446,"width":0.07168799999999997,"height":0.018595000000000028}},{"text":"liability,","bbox":{"left":0.668742,"top":0.416446,"width":0.060392,"height":0.018595000000000028}},{"text":"and","bbox":{"left":0.73835,"top":0.416446,"width":0.025885999999999965,"height":0.018595000000000028}},{"text":"those","bbox":{"left":0.773252,"top":0.416446,"width":0.03795400000000004,"height":0.018595000000000028}},{"text":"standards","bbox":{"left":0.820556,"top":0.416446,"width":0.06777299999999997,"height":0.018595000000000028}},{"text":"are","bbox":{"left":0.897418,"top":0.416446,"width":0.021917999999999993,"height":0.018595000000000028}},{"text":"Name","bbox":{"left":0.088235,"top":0.480965,"width":0.04504399999999999,"height":0.019306000000000045}},{"text":"Address","bbox":{"left":0.088235,"top":0.512935,"width":0.06302900000000002,"height":0.019306000000000045}},{"text":"City","bbox":{"left":0.088235,"top":0.544778,"width":0.033102000000000006,"height":0.019306000000000045}},{"text":"State","bbox":{"left":0.453807,"top":0.544778,"width":0.039163,"height":0.019306000000000045}},{"text":"Zip Code","bbox":{"left":0.641095,"top":0.544778,"width":0.07136300000000007,"height":0.019306000000000045}},{"text":"Home Phone","bbox":{"left":0.088235,"top":0.575233,"width":0.097652,"height":0.019306000000000045}},{"text":"Work Phone","bbox":{"left":0.501258,"top":0.575233,"width":0.09663300000000008,"height":0.019306000000000045}},{"text":"Mobile Phone","bbox":{"left":0.088235,"top":0.607051,"width":0.106476,"height":0.019306000000000045}},{"text":"Email Address","bbox":{"left":0.45969,"top":0.607051,"width":0.11341200000000001,"height":0.019306000000000045}},{"text":"Date of Incident","bbox":{"left":0.088235,"top":0.637505,"width":0.12378600000000002,"height":0.019306000000000045}},{"text":"Time of Incident","bbox":{"left":0.502239,"top":0.637505,"width":0.126834,"height":0.019306000000000045}},{"text":"Location of incident","bbox":{"left":0.088235,"top":0.66796,"width":0.15249599999999996,"height":0.019306000000000045}},{"text":"Description of Incident: Please attach any additional documentation such as a more complete description or narrative, \n estimates or quotes for repair/replacement, photos, Police Report to this form, if available.","bbox":{"left":0.088235,"top":0.699778,"width":0.8061280000000001,"height":0.03249400000000002}},{"text":"Signature","bbox":{"left":0.117686,"top":0.929356,"width":0.075007,"height":0.019306000000000045}},{"text":"Date","bbox":{"left":0.58835,"top":0.929356,"width":0.036023999999999945,"height":0.019306000000000045}}],"images_bbox":[{"left":0.081127,"top":0.048106,"width":0.229248,"height":0.064394}],"images_bbox_not_text_overlap":[{"left":0.081127,"top":0.048106,"width":0.229248,"height":0.064394}]}