Case Closure Request Form

Complete the Case Closure Request information below with as much information as possible. If it is incomplete it may not be successfully updated in our system.

Fields marked with (*) are required.

First Name:

Last Name:

Phone Number:

Phone Type:

Please add any explanation needed about the case closure request to successfully update your case. For example, if the address listed is for the other party on your case, please explain that in your comments. Characters Remaining