Skip To Content

File A Claim

File A Proof of Claim and Release Form

  • To Submit an online Claim and Release or Update Contact Information, please click HERE
  • To download a blank copy of the Proof of Claim and Release Form, please click HERE 

Return the paper Claim Form by US Postal Mail to:

Geisinger Evangelical Settlement
c/o A.B. Data, Ltd.
P.O. Box 173108
Milwaukee, WI 53217

If you mail your Proof of Claim and Release Form, it must be postmarked by February 17, 2026

If you fill out your Proof of Claim and Release Form online, you must submit it by 11:59 p.m. PST on February 17, 2026