Civil Action No. 1:17- cv-23033- SCOLA (S.D. Fla.)
Please provide the primary owner's/lessee's name and contact information below. Correspondence concerning this claim and payment will be directed to the address provided below. You must notify the Claims Administrator if your contact information changes after your claim is submitted.
What type of Claimant are you?*
Please enter your 17-digit Vehicle Identification Number (VIN):*
Your Vehicle Identification Number (VIN) can be found in documentation about your vehicle (i.e. title, registration, etc.) or on your vehicle directly.
The most common place to find your VIN on your vehicle is on the driver side interior dash.