1Update Your Information2Select Payment Option PaymentFormNumberGotham Payment Option - Step 1Claimant ID(Required) Name(Required) First Last Current Mailing 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 Please provide your phone number and email address so that we can reach you when it is time to send the payment to you.PhoneEmail Gotham Payment Option - Step 2Please select the Payment Option by which you would like to receive your payment and complete the steps as prompted. Chosen Payment Method(Required) HiddenPayment Token(Required) Signature(Required) I verify the information provided is accurate. River City Payment Option - Step 3
