How do I Complete and Submit a Questionnaire?

Claimants or their counsel may complete and submit the Questionnaire through this electronic Portal. The Portal offers two separate options to complete and submit the Questionnaire.

First, claimants or their counsel may download a copy of the blank Questionnaire and the accompanying instructions and complete the Questionnaire offline. The Questionnaire downloadable through this Portal is a fillable PDF where claimants or their counsel may type answers to the questions; alternatively, claimants or their counsel may write in answers. Claimants or their counsel may then upload the completed Questionnaire to the Portal and submit it electronically, along with the additional documents that must be provided with the Questionnaire response.

Second, claimants or their counsel may complete the Questionnaire by following the guided prompts on the Portal and typing responses. This option will be available starting April __, 2021. A claimant or counsel inputs information according to the Portal’s guided prompts, and the Portal then generates a completed Questionnaire based on the information provided. Claimants or counsel subsequently review the completed Questionnaire and submit it electronically, along with the additional documents that must be provided with the Questionnaire response.