This form is used to log into the Bluefield Claim Form. To proceed to the Bluefield Claim Form, please begin by entering your Claimant ID number that appears above your name on the postcard Notice and your last name and then click the PROCEED TO CLAIM FORM button.Enter your Claimant ID:Enter your last name (if your last name contains an apostrophe, omit the apostrophe):This field is hidden when viewing the formEntry Verification(Required)This field is hidden when viewing the formIs Valid Entry(Required) Yes CAPTCHA
