gallagher bassett pre authorization form

Please mail the completed form and receipt(s) to the address listed on the form. For questions regarding the purchase of a used vehicle for sale, please see the Lapeer Road Marshaling Center tab>Used Vehicle Sales. If you wish to receive payment electronically please provide your account details below. In addition to its timeliness, online training has proven cost effective for many clients as Gallagher Bassett offers unlimited use of the modules and does not set restrictions on the number of attendees. } ( 'fetch' in window ) || document.write( '