Frequently Asked Questions
Claims Management Office
TSA approved my claim. What is the form I received with my approval letter?
This form is required in order to have the Coast Guard Finance Center and the U.S. Treasury make payment.
The key items on the form are:
Your Social Security number. This is mandatory in order to have your payment processed. If you fax this form back to TSA, the fax will be received in a very secure manner and remain secured throughout the payment process. If you are not comfortable with including your Social Security number on the form, please contact the Claims Management Office to make other arrangements for transferring this information.
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Your clearly printed name and contact information.
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Your signature and the date.
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The requested payment method. This is either by check or electronic funds transfer.
If by electronic funds transfer, we will require your bank name and address, your bank account number, the bank routing number, and the account type. If you fax this form back to TSA, the fax will be received in a very secure manner and remain secured throughout the payment process. If you are not comfortable with including your banking information on the form, please contact the Claims Management Office to make other arrangements for transferring this information.
Please take note of the Privacy Statement at the bottom of the form.
For faster service, fax the form back to TSA at: 571.227.4175.
NOTE: All payment forms that include a claimant's Social Security number and banking information are secured within the TSA Headquarters in Arlington, Virginia. The fax number above connects with a fax machine within a secured room and all information is secured 24/7 by the Claims Management Finance Specialist.
