Follow the steps to complete your claim form online

1. Click the ‘Get Form’ button to access the claim form. This will allow you to view the necessary fields and sections to complete your claim.
2. In the first section, enter the claimant's name, including first name, middle initial, and last name. Ensure accuracy to avoid any discrepancies.
3. Provide the claimant's current address if it differs from the address on the envelope enclosing the form by including the street, city, state, and ZIP code.
4. Indicate the state where the property securing the loan is located. Select the appropriate state from the drop-down list provided in the form.
5. Input the claimant's date of birth in the designated format: month, day, and year.
6. Fill out the claimant's home telephone number, ensuring the area code is included.
7. Enter the last four digits of the claimant’s Social Security number to help verify their identity.
8. If applicable, repeat steps 2 through 7 for the co-claimant, ensuring all information matches the individual’s official documents.
9. In Section 1, confirm each statement regarding the insurance policy by checking the boxes next to the corresponding statements that apply.
10. Sign and date the form at the bottom to certify that the information provided is true and correct for both the claimant and co-claimant, if applicable.
11. In Section 2, verify the identity of the claimant by providing one of the accepted methods: witness signature, government identification, mortgage statement, or notary verification.
12. Once completed, review the form for any errors. You can then save changes, download, print, or share the form as needed.

Complete your CO Sekula LPI Settlement Class Action Claim Form online to ensure your claim is processed accurately.