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I am clicking the Submit Claim button, but I receive an error. What do I do?

Check your work. Make sure you have:
[1] entered a complete creditor name and address.
[2] entered an amount in field #1.
[3] chosen the correct option for filing supporting documentation.
[4] chosen a box in #8 and included a name in the Signature line.
[5] completed the verification code correctly.