ClaimFormNumberTBJ Drywall & Taping Claim Form People of the State of Illinois v. TBJ Drywall & Taping, Inc., Claim FormThis Claim Form must be returned by November 16, 2024 to receive your first payment shortly after December 16, 2024. You may also submit a late Claim Form up until January 11, 2028.Claimant ID:*Name:* First Last Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone:*Email:* Social Security or ITIN:* Chosen Payment Method*This field is hidden when viewing the formPayment Token*Untitled I verify that this information is correct and that I waive my right to bring suit as described above and covering the time period set forth above. Date* MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
