You can use this form to file a claim with PECO.
- Print out a copy and fill in the information requested.
- Mail the completed form directly to our office at the following address:
PECO,
Claims Division, S16-1 2301
Market Street,
Phila.,
PA 19101
- Or, fax the form to us at 215-841-4919.
Once this form is received in our office, you will be contacted by one of our Claims Adjusters at your daytime telephone number.
This document is provided in Adobe Acrobat format. If you do not have Adobe Acrobat Reader, click below for a free copy.
