Message
Please VERIFY the spelling of the Name and Social Security Number. The Name and Social Security Number must be entered as they appear on the caller Social Security card.
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If the Name and Social Security Number fail identity verification:
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Please select the back button and VERIFY the following: <br>If caller has had a recent name change due to marriage or divorce or used a nickname please reenter the name correctly using the following guidance:
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<b>FIRST NAME </b><br> Do not include the name of the co-applicant in this field. DO NOT use ANY type of accent marks in the name field as this will slow the processing of the registration. This field accepts a maximum of 50 alphabetic characters.<br><b>MIDDLE INITIAL</b><br>Enter the middle initial if available.<br><b>LAST NAME</b><br> Enter the last name in this field. If appropriate, enter JR, SR, III, etc., following the last name. (Example: JONES JR) This field accepts a maximum of 50 alphabetic characters.<i>Last Name when applying with a dependent child's social security number</b></i> If the caller is completing a registration using a dependent child's SSN, enter the last name (parent/legal guardian) as well as the full name of the child. For example, SMITH FOR JOHN Q. PUBLIC. The first name and middle initial fields should contain caller data only.<br><b><br>Damaged Dwelling Address</b><br> Damaged property address Verify the Street Address, City, State and Zip Code where the damage occurred including the house number, building number or any apartment or lot number. <br>Do not abbreviate street names (23 Bk Mtn St instead use 23 Back Mountain St) or use the following in the address fields:<br>
If an apartment, record it as (example 23 Back Mountain St Apt B or 23 Back Mountain St Apt 4C).<br>
DO NOT enter a Post Office Box or General Delivery type address in this field.<br>
This is a required field. It accepts up to 60 alphanumeric characters.<br><br>
<b>Vehicle/medical/dental/funeral only application</b>, enter only the name of the street on which the damaged occurred.<br><br>
<b>Current Mailing Address:</b><br>
If the current Mailing Address is NOT the same as the damaged dwelling address enter the address where the caller is currently receiving mail; it does not have to be where they are living. You may enter a post office box number or general delivery address in this field. If possible, enter an address where they will receive mail for a minimum of 60-days. This field accepts up to 60 alphanumeric characters.
<br><br><b>SOCIAL SECURITY NUMBER</b><br> A SSN is required to register, if the caller does not have a SSN (see Applying with SSN of a Dependent Child). <br><i><b>Applying with SSN of Dependent Child</b></i><br> If the caller does not have a SSN but does have a dependent child in the household with a SSN, enter that child's SSN and all of the child's information in the registrant's fields for this screen.<br><i><b>Business ONLY</b></i><br> If this registration is for business losses ONLY, enter the SSN of the responsible party for the business. This information will be used as an identifier only. <br><i><b>Funeral ONLY</b></i> <br>Enter the social security number of the person responsible for the funeral expenses.<br><b>E-MAIL ADDRESS</b><br>Enter e-mail address if available.<br><b>DATE OF BIRTH</b><br>Enter the date of birth in the MM/DD/YYYY format. (Example: 01/01/1960)
