Your Deficiency Response has been submitted successfully.
Please print this page for your records.
| Claim Number: | |
| Confirmation Code: | |
| First Name | |
| Last Name | |
| Current Contact Email Address | |
| Street Address 1 | |
| Street Address 2 | |
| City | |
| State | |
| Zip Code |
| Signature | |
| Date |
If you have any questions regarding your Deficiency Response, please provide the Claim Number listed above and email us at Questions@PlaidSettlement.com.