Guillen v J&B Cleaning Claim Form Login

Atticus Administration Forms

This form is used to log into the Claim Form and Release

Claimant ID:*

The Notice you received will have your Claimant ID listed.

Enter your last name (if your last name contains an apostrophe, omit the apostrophe):*

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Marque esta casilla si desea ver la versión en español del Formulario de Reclamo

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Entry Verification*

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Is Valid Entry*

Yes

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