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For NCSFA Member Benefit Claims

Please complete the claims information form below.  Once eligibility has been verified, a representative will follow up with next steps on submitting claim details.


For assistance, contact VFIS of North Carolina at 919-755-1401 or email us at

Please complete each field below to ensure all needed information is collected to provide you with prompt service.  

Member Information

Department Contact Information

Claim Information

Did the injury or death occur On-Duty or Off-Duty

Thank you for sharing this information with us. After receiving the information, a representative will follow up with you.

Next Steps

I've Submitted the Initial Claim information Form - What's Next?

I have a completed claim form.  Where do I send it?

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