In order to prepare the Proof of Claim file so that you can download and print it with the bar code needed for us to process it, please fill out the form below and click Submit. This is a large file and might take a few minutes.

Once your personalized Claim Form has been generated and you have printed it out, you must mail the completed form together with the required supporting documentation to the address listed on the printed Claim Form.

Adobe Acrobat Required to download the Claim Form which will be in PDF format. You may already have the Adobe Acrobat Reader on your computer or on disks that came with your computer. If you do, you won't need to download Adobe Acrobat.

If you do not have Acrobat, please click here to download the Free Adobe Acrobat Reader.