1Update Your Information2Select Payment Option ClaimFormNumberPeople of the State of Illinois v Global Trade Hub, Inc. (“GTH”) Claim Form This Claim Form must be submitted online by November 14, 2023.Claimant ID(Required) Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Social Security Number or Tax ID Global Trade Hub Claim Form - Step 2Please select the Payment Option by which you would like to receive your payment and complete the steps as prompted. YOU MUST COMPLETE THE CLAIM FORM AFTER YOU'VE SELECTED YOUR PAYMENT OPTION. Chosen Payment Method(Required) HiddenPayment Token(Required) Signature(Required) I verify the information provided is accurate. Typed Signature(Required)
