File Online Claim Form
Please use the link below to submit an online Proof of Claim and Release Form. In order to successfully complete your Proof of Claim and Release Form, you will need to reference your Notice ID number found at the top of your email notice or above the mailing block of your postcard notice.
THIS PROOF OF CLAIM AND RELEASE FORM CONTAINS TWO (2) SECTIONS, ALL OF WHICH MUST BE COMPLETED BEFORE THE FORM IS SUBMITTED, INCLUDING THE VERIFICATION ON THE LAST PAGE. YOUR CLAIM WILL NOT BE SUBMITTED UNTIL AFTER YOU COMPLETE THE VERIFICATION AND PRESS THE GREEN “SUBMIT” BUTTON.
Please print the verification for your records.
To complete the online Proof of Claim and Release Form, click NEXT.