Electronic Claim File (File to be
populated with the claimant data. Please note that this file must
remain in excel and the column order must be preserved.)
Electronic Claim File - Fields
Descriptions (the description of the data to include in the excel
file. Please refer to the VALUES column for details of the data type as
well as the required values.)
Supporting Documentation
– Please provide all documents in PDF format. Each claimant should have
a separate PDF file for different document types (Certified Claim Form
(must be included), Exposure, Medical, PR/Estate). The name for each
PDF file should contain the SSN of the claimant.