Claims and Incident Reports

Employee Injury

Workers’ Compensation

Student Accident

Incident Report

Student Accident Claim Form

All Other Accidents/Incidents

Incident Report

  • Accident – Non-Employee
  • Vehicle Accident
  • Burglary/Theft/Robbery
  • Property Damage
  • Fire
  • Volunteer
  • Parishioner

What information do I need?

  • Incident Report
  • Group Name: Diocese San Jose
  • Location Name & ID #
  • Date of Loss
  • Detail of Loss
  • Police Report number if applicable
  • Contact name & phone numbers, including cell number
For emergencies or if you cannot reach someone at the Chancery, contact:  Marizel Bajao, Senior Adjuster 408-260-0153 / 408-260-0154 (F) GEORGE HILLS COMPANY
Copyright © Diocese of San Jose | All Rights Reserved
1150 North First St. | San Jose, CA | 95112 | 408-983-0100