1500 Claim Form Reference Instruction Manual

The NUCC has developed a 1500 Reference Instruction Manual detailing how to complete the claim form. The purpose of this manual is to help standardize nationally the manner in which the form is being completed.

The current version of the instructions for the 02/12 1500 Claim Form was released in July 2016.
• Version 4.0 7/16 1500 Instruction Manual

1500 Instruction Manual Changes

The following is a change log of all changes that have been made to the 4.0 7/15 Instruction Manual since July 1, 2016.
• 072016 v4.0 Instruction Manual Change Log

The following is a change log of updates that were made between the version 3.0 7/15 1500 Instruction Manual and the version 4.0 7/15 1500 Instruction Manual.
• 072016 v3.0 0212 Instruction Manual Change Log

Previous Versions

Previous releases of the Instruction Manual:
• Version 3.0 7/15 0212 1500 Instruction Manual
• Version 2.0 7/14 0212 1500 Instruction Manual
• Version 1.1 7/13 0212 1500 Instruction Manual

Change Requests

If you would like to request a change for the 1500 Instruction Manual, please complete the following form. Completed forms can be emailed to the NUCC at This email address is being protected from spambots. You need JavaScript enabled to view it.. (Do NOT use the Change Request Form for submitting general instruction questions or for requests for an instruction manual. General questions and requests for instruction manuals can be emailed to the above address.)
• Change Request Form