If you have any questions about the Program, an Application Form, a Supporting Evidence Form or other Program forms, or if you need help with submitting any Program forms, then please contact the Program’s Administrator (ESIS, Inc.) for assistance through any of the following means.
- By Email: You can also email your questions to the Administrator at: covaxclaims@esis.com
- By Regular Mail: You can also send your questions to the Administrator by regular mail, by writing:
- to one of the Program’s Regional Centers; or
- to the ESIS headquarters in the United States, whose address is below:
ESIS
New Claims Reporting
Attention: Covax Team
P.O. Box 5129
Scranton, PA 18505-0568
United States of America
- By Calling the Program’s Global Telephone Hotline or one of the Program’s Regional Centers: You can call any of the telephone numbers below and a representative of the Administrator will assist you. Please note, however, that you will not be able to complete or submit an Application or any Program forms or other documents by telephone. The telephone numbers for the Program’s Regional Centers are at-cost. The telephone number for the Global Telephone Hotline may be toll-free or at-cost, depending on which country you are calling from. You should verify whether or not any calling charges apply before calling any of the telephone numbers below:
Global Telephone Hotline 1-833-276-8262 Africa +27 (0)11 463 5900 Asia Pacific +61 7 3223 3100
+65 6632 8639
+852 2526 5137Europe +49 211 95456250
+32 2 257 03 52India +91 (020) - 26612524 Latin America +52 55 5093 6467
+55-11-3879-7500Middle East and North Africa +971 4 345 9541
+972 35 628 811
Contact Information for Regional Centers Under the COVAX No-Fault Compensation Program for AMC Eligible Economies (The “Program”)
In the table below, you can find the names, addresses and direct (at-cost) telephone numbers(*) of the various Regional Centers under the Program where you can:
- contact the Program’s Administrator if you have any questions about the Program or need help in completing or submitting an Application Form or other Program Forms; and
- submit to the Program’s Administrator (by sending via registered mail): (1) your application materials (i.e., the Application Form on Schedule 2, the Supporting Evidence Form on Schedule 3, and all other documents required to be submitted under the terms of these forms); (2) the other Program forms; and (3) any other documents that are required or permitted to be submitted under the Program’s forms.
(*) There is also a Global Telephone Hotline for the Program, which is 1-833-276-8262. The telephone number for the Global Telephone Hotline may be toll-free or at-cost to you, depending on which AMC Eligible Economy you are calling from. You should verify whether or not any calling charges apply before calling the Global Telephone Hotline.
IMPORTANT NOTE: Each Regional Center listed below services only those AMC Eligible Economies that are listed on the right side of that Regional Center. Please ensure that you only contact, and that you only submit Program forms and other documents to, the correct Regional Center—i.e., the Regional Center that services the AMC Eligible Economy in which the Vaccine was administered to you, or to the Patient on whose behalf you are submitting an Application, as applicable.
| Regional Center Contact Information | AMC Eligible Economies Serviced by the Regional Center |
|---|---|
|
South Africa Crawford & Company PO Box 782023 Sandton 2146 South Africa +27 (0)11 463 5900 |
Angola Benin Burkina Faso Burundi Cabo Verde Cameroon Central African Republic Chad Comoros Congo, Dem. Rep. Congo, Rep. Côte d’Ivoire Djibouti Eritrea Eswatini Ethiopia Gambia Ghana The Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar Malawi Maldives Mali Mauritania Mozambique Niger Nigeria Rwanda São Tomé and Principe Senegal Sierra Leone Somalia South Sudan Sudan Tanzania Togo Uganda Zambia Zimbabwe |
|
Australia Crawford & Company GPO Box 1016 Brisbane QLD 4004 Australia +61 7 3223 3100 |
Fiji Kiribati Marshall Islands Micronedia, Fed. Sts. Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu |
|
Germany Crawford & Company Werdener Strasse 4, 40227 Düsseldorf Germany +49 211 95456250 |
Kosovo Kyrgyz Republic Moldova Tajikistan Ukraine Uzbekistan |
|
Mexico Crawford & Company de México, S.A. DE C.V. Miguel Laurent No. 17 Piso, 601. Colonia Del Valle, Alcaldia Benito Juarez Ciudad De México C.P. 03200 Mexico +52 55 5093 6467 |
Dominica El Salvador Grenada Guyana Haiti Honduras Nicaragua St. Lucia St. Vincent and the Grenadines, |
|
Brazil Crawford & Company Geraldo Flausino Gomes, 78 14º Andar Cidade Monções 04575-060 São Paulo Brazil +55-11-3879-7500 |
Bolivia |
|
Singapore Crawford & Company 8 Shenton Way #03-01, AXA Tower Singapore 068811 Singapore +65 6632 8639 |
Cambodia Indonesia Korea, Dem. People’s Rep. Lao PDR Myanmar Timor-Leste Vietnam |
|
Hong Kong Crawford & Company 24/F Sunshine Plaza, 353 Lockhart Rd, Wanchai Hong Kong +852 2526 5137 |
Mongolia Philippines |
|
United Arab Emirates Crawford & Company P.O. Box 2976 Dubai, United Arab Emirates +971 4 345 9541 |
Egypt, Arab Rep. Syrian Arab Republic Yemen, Rep. |
|
India Puri-Crawford Unit No.1, First floor, Windsor Terrace Above Hotel Samruddhi, Vishrantwadi, Pune, Maharashtra 411015 India +91 (020) - 26612524 |
Afghanistan Bangladesh Bhutan India Nepal Pakistan Sri Lanka |
|
Israel Crawford-Tossman No. 2 Choma Umigdal St., Tel Aviv, Israel, 6777102 +972 35 628 811 |
West Bank and Gaza |
|
Belgium Crawford & Company Jan Olieslagerslaan 41 1800 Vilvoorde Belgium +32 2 257 03 52 |
Algeria Morocco Tunisia |