|
DIRECTIONS:
Please read this entire page before proceeding
to the E-Z application form.
Complete the Application form first. When completing the application,
you must select the type of claim by clicking on and filling in the corresponding
circle for the type of claim you are filing (see types of claims above).
You may then proceed to complete each field using your keyboard and advancing
to the next field by using the "tab" key or moving the cursor with your
mouse. After all fields are completed, print the application
form using your browser print button.
If additional forms are required (based on the type
of claim selected - see above), you will automatically be referred to the
"next" form when you click on the "next" button. Complete each form
as appropriate (using your keyboard and completing all required fields)
and print using your browser print button before proceeding to the
"next" form. |