Individual claims can be submitted online using the form below or simply e-mail them to email@example.com. If you have any questions on claim submission please be sure to contact us at (631) 719-8028.
Please submit any contracts, notes, returned checks, itemized statements or other papers that are needed. When necessary, you are authorized to forward this account, under bond, to a commercial attorney.
You may attach up to 5 files to this submission. Acceptable file formats include MS Word/Excel, Apple Pages/Numbers, PDF and Zip files.