Using Global Providence Securities Litigation Online Claim Form

      Important note: Your claim form CANNOT be filed electronically. You can use the Global Providence Securities Litigation Claim Form Online Center to fill out your form and print it out. However, you must still mail the completed form and all required attachments to the designated address. Your claim form is considered filed only when it is RECEIVED in total by the designated party.

      Please note that you can fill out a claim form only if your broker-dealer is in liquidation under the Securities Investor Protection Act. If you are unsure whether your broker-dealer is in liquidation, click on the arrow under "Identify Your Brokerage Firm" below or contact Global Providence Securities Litigation.

Claim Form Completed

      If you already have completed your claim form or filled out some of it, please enter your email address and password below to access your claim information.

Email Address:
Password:

Fill in Claim Form

      If you have not yet filled in your paper claim form, you can get started by entering your email address and choosing a password using the form below.

Email Address:
Password:
Re-Enter Password:
Your Brokage Firm: