Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.
The (::) symbol indicates a required field.
The Department will respond to your e-mail within 48 business hours.
Please be advised that in order to disclose any information concerning your client's account, you must be listed as a personal representative, or you must have an active (POA-1) form on file with the Department.
Important Notice: Confidential and personal information such as Social Security numbers, dates of birth or bank account numbers should not be transmitted via the department’s online form, as privacy cannot be protected or ensured due to the unsecured web form transmission.
If you need immediate assistance, you can contact the Department at (800) 462-6320 (enter 4367) to connect.