SECURE ONLINE FORM SUBMISSION

Download Forms & Securely Submit

Instructions to Submit Forms

  1. Download and complete the form(s). You must download in order complete and electronically sign.
  2. Complete the forms directly on your computer in the fillable text areas provided, digitally sign and save.
  3. Submit completed and signed forms through the Secure Online Form Submission below OR
  4. Email to grievance@lighthouserecovery.net
  • Please provide best contact number.
  • Drop files here or
    Accepted file types: pdf, png, docx, jpg, gif.
    Upload forms to the Lighthouse Recovery. You may submit multiple attachments.
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