At Amerisure®, we work closely with our Owner/Operator policyholders to provide personalized coverages and extensive value-added services to develop and implement strategies that support safe McDonald’s Stores and minimize risk. Owner/Operator Policyholders are able to take advantage of Amerisure’s top-performing Loss Control-Professional Consulting Group (PCG) to conduct annual workplace performance audits and develop solid, effective safety programs for their Owner/Operator Stores. This leads to improved safety records and savings due to reduced loss costs and claims. PCG experts also provide loss analysis, manager training and education programs.

So that policyholders receive fast, efficient service, Amerisure has strategically located Core Service Centers throughout the western, midwestern and southern United States. Coupled with our 24/7 claim reporting and return-to-work initiatives, Amerisure is regularly rated as “exceptional” in policyholder satisfaction surveys.*

Below are a few resources that you should find useful in addition to information provided by our expert consultants assigned to your business.


SureConnect – Submit a Claim Online, Access Claims Information, Claims History, Reporting, etc.

Claims Reporting 

On-Line Claim Reporting – All States

Phone/Fax Numbers – All States

Emergency After-Hours Claims Service call (888) 664-2524

Claims Kits

Claims Kits – Specific to your State

Claims Management Resources

Accident Investigation Form (English and Spanish)

Claims Management Check-List

Additional Statement Gathering

Clinic Location Posting per Store – Contact Amerisure

Frequently Asked Questions – Videos

Amerisure Explains 

State Specific Forms

ALL – Claims Kits and Other Forms

ALL – State Specific Common Forms

Florida – Anti-Fraud Notice

Florida – Accident Form (First Notice of Injury)

Florida – Wage Statement

Indiana – Accident Form (First Notice of Injury)

Kansas – Accident Form (First Notice of Injury)

Kentucky – Accident Form (First Notice of Injury)

Missouri – Accident Form (First Notice of Injury)


You can setup auto-draft by following the below instructions:

First, go to EZPay Here

Next, Enter your Amerisure Account Number: ********N

The next page will have you confirm the Company Name, you can hit “Continue to Pay Bill”.   At this point you will have to setup a user ID and password and can continue on to setup the auto drafts.


Fraud Prevention Posters (8.5 x 11 inches)

Fraud Prevention Posters (11 x 17 inches)

All Posters – See Our Full Catalog


All Videos – See Our Full Catalog

Insurance Certificates

Online Request Form

Safety Materials – Online Ordering

Safety Book Order Form

Besnard’s Full Time Owner/Operator Loss Prevention and Claims Resources

Contact Safety at or to have our team help you be the best and truly “profit from safety”