Claim Forms

Please read the supplemental Claim Filing FAQs for more information.
Form IND v2 Claim form for Indirect Investors. Use this form if you invested your own money through a feeder fund or with an investment partnership, family trust, investment company, managed fund of a bank or some other type of entity that in turn invested in Madoff Securities.

January 10, 2014 - We have updated Form IND to clarify placement of information. Feel free to continue to use the initial version, or the updated Form.
Form PV Claim form for Pooled Vehicles. Use this form if you invested someone else's money (possibly through various intermediaries) in Madoff Securities. To facilitate the administrative process of documenting losses, pooled vehicles or "conduits" will be allowed to submit claims on behalf of their underlying investors. However, such an application does not change the fact that it is the investor, not the investment fund, who is the victim.
Form DIR Claim form for Direct Investors. Use this form if you invested your own money directly in a Madoff Securities account held in your name and tax identification number. This form will be sent in prepopulated form to all holders of allowed and unsatisfied claims in the bankruptcy. If third party claims were filed against the account and denied by the bankruptcy Trustee, the account is considered to be a pooled vehicle investing someone else's money and you will not receive a prepopulated Form DIR. Form DIR should be used to file a claim for your own investment only.
Form IND Original Form IND.
eFile Template Electronic template (spreadsheet) for pooled vehicle claims. (Updated 11-26-2013)
eFile Certification Certification & Release for claims filed by a pooled vehicle. (Updated 11-26-2013)
Form T-1 To be completed by the seller of a Direct Investor claim.
Form T-2 To be completed by the purchaser of a Direct Investor claim.
PV Form T-1 To be completed by the seller of a pooled vehicle claim.
Form A Disclosure of Fees, Commissions and Other Compensation.
Representation Notice of Representation. (Updated 01-14-2016)

For any questions regarding your petitioner status, the eligibility requirements or
the claims process, please email our customer service representatives.

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