Address Information

Address Information is as follows. The required Information for a US address is bold.

• StreetAddress
• StreetAddressExt
• City
• State
  • must be a valid two digit state code
• NonUSState
• Zip
• Zip4
• Country
  • must be a valid three digit country code
• eMail
• AreaCode
  • Phone Number Area Code ex. 703
• PhoneNumber 7 digits
  • Phone Number ex. 123-4567

*Address requirements are the same for a Claimant or Representative address.