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.