Please call our office at 812-232-1381 and we will discuss why you were denied. You may have the option to appeal the decision. Or you may click HERE to view and print our “Request for Appeal” form. You can view/print this form, fill it out and return to our office at P.O. Box 3086, Terre Haute, IN 47803.
The Request for Appeal must be within 14 days of the date of your denial letter.