Beginning August 30, 2024, claimants and beneficiaries can request claim information and changes using the new Online Contact Form:

  • Address Change
  • Direct Deposit Change
  • Report of Death
  • Request for Income Verification
  • Request Copies of Documents or Bills
  • Request for Claim Status Update
  • Report Non-receipt of Benefit Payment
  • Report Other Issues/Miscellaneous

To submit a request, follow these steps:

  1. Access the C.O.A.L. Mine Portal:
    • Log in to the C.O.A.L. Mine portal.
    • Click on the “ONLINE CONTACT FORM” button.
  2. Enter Required Information:
    • Provide the following details:
      • Case ID Number
      • Claimant’s Last Name
      • Claimant’s Date of Birth
    • Click the “NEXT” button.
  3. Complete the Online Contact Form:
    • The Online Contact Form will appear.
    • Fill out the applicable sections related to your request.
    • Click the “I CERTIFY…” check-box at the bottom of the form to certify that the information is correct.
    • Scroll down and click “SAVE AND CONTINUE.”
    • NOTE: If you wish to start over, click the “RESET” button.
  4. Document Control Number (DCN):
    • After clicking “SAVE AND CONTINUE,” a pop-up window will appear.
    • Note the Document Control Number (DCN) provided in the pop-up. This number is for your reference.
    • Click the “SEND TO CASE” button.
    • NOTE: If you wish to edit your request, click “CONTINUE EDITING.”
  5. Review by Claims Examiner:
    • Once submitted, the Online Contact Form will be available for immediate review by the Claims Examiner assigned to your case.