Claim Form Login This form is used to log into the IL AG Claim Form To proceed to the Claim Form, please begin by entering your Claimant ID and Dasher ID that appears at the top of your Notice and then click the PROCEED TO CLAIM FORM button.Enter your Claimant ID:*Enter your Dasher ID:*This field is hidden when viewing the formEntry Verification*This field is hidden when viewing the formIs Valid Entry* Yes CAPTCHA
