The deadline to submit a claim is 11:59 PM (Pacific Standard Time) on November 23, 2022.
You should NOT submit both an online claim AND a paper form. Only one Claim form will be accepted per qualified individual.
To file a claim online, you will need your Notice ID and PIN, located on the notice that was mailed to you.
For more information or issues regarding filing a claim, please contact the Administrator at:
|By Mail||By Phone||By Email|
PCS Revenue Control Systems
|(800) 842-4612||[email protected]|