Texas Association of Counties
Loss Sedgwick CMS Liability Insurance
1210 San Antonio
Austin, TX 78701
1-800-456-5974
Adjuster: Susann Honaker
Forms
Auto Physical Liability – General Liability (APL – GL)
Employee Accident-Loss Investigation Report
General Liability Loss Report
Auto Physical Damage Loss Notice
Auto Liability Loss Report
Note: Supervisors and/or Department Heads to fill out the form, print it, and finally email it to:
Susie Marfileño – Retirement Specialist
smarfileno@co.cameron.tx.us