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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Claimant Information section. Enter your first name, last name, middle initial, street address, city, state, zip code, current telephone number, unit/apartment number (if applicable), and email address.
If you have a Claim Number or Confirmation Code from a postcard or email notice, enter those details. If not, you may leave those fields blank.
In the Claimant Certification section, read the statements carefully. By signing and dating the form, you confirm that you engaged in eligible transactions as specified.
Review all entered information for accuracy before submitting. Ensure that your contact information is correct to avoid any issues with processing your claim.
Submit your completed Claim Form online through our platform or print it out and mail it to the provided address by February 1, 2021.

Start using our platform today to easily complete your claim form for free!

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