Get Request For Claims File Information Or Prior Claims

This guide provides clear and supportive instructions for completing the Request For Claims File Information Or Prior Claims form online. Follow the steps to ensure your request is processed efficiently.

Follow the steps to successfully complete your request

1. Click ‘Get Form’ button to access the form and display it in your editor.
2. Indicate the type of search you are requesting by selecting either 'By Name' or 'By Social Security Number'. If choosing the latter, ensure to include the required authorization from the holder of the Social Security Number by signing in the designated area.
3. Fill in the first name and last name of the individual whose claims file information you are requesting, ensuring accuracy and legibility.
4. If requesting a search by Social Security Number, enter their Social Security Number and have the holder sign to authorize the use of their number.
5. If you are submitting this request on behalf of another individual, enter their name and complete the address, including city, state, and zip code.
6. As the preparer of the form, provide your own information, including your name, address, city, state, zip code, telephone number, and signature.
7. Review all fields to ensure accurate and complete entries, as inaccuracies may delay processing.
8. Prepare the form for submission by including a self-addressed stamped envelope. Note that requests will not be processed without this envelope.
9. Save the form changes, and proceed to download, print, or share your completed Request For Claims File Information Or Prior Claims.

Complete your Request For Claims File Information Or Prior Claims online to ensure timely processing.