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 (v 8.0) was released in July 2012.
• Version 8.0 7/12

Instruction Changes - Any changes/clarifications made to the instruction manual since July are located on the 1500 Instruction Manual Changes page.

Previous Versions

Previous releases of the Instruction Manual:
• Version 7.0 7/11
• Version 6.0 7/10
• Version 5.0 7/09
• Version 4.0 7/08
• Version 3.0 7/07
• Version 2.1 3/07
• Version 2.0 1/07
• Version 1.3 7/06
• Version 1.2 1/06
• Version 1.1 12/05

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