To supply your proof of benefit/income please use one of the following options:
Include your account number with your document. Do not send the original. These will not be returned to you.
Fax: 855-254-4612
Email: ll@myllform.com
Mail: P.O. Box 9100. Toledo OH 43682
To view a list of acceptable documentation please click here
1-855-872-9988
Pay For Service
Five Easy Ways to Pay
1. By Credit Card Over The Phone: Call 1-877-225-8754
2. By Credit Card Online: Click Here
3. MoneyGram: Please go to any MoneyGram location such as WalMart or CSV/pharmacy. Home Phone Receive Code: 7663
4. Ace: Please visit your nearest Ace payment location.
5. Retail Location: Please call 1-877-225-8754 for your nearest payment location.
1. By Credit Card Over The Phone: Call 1-877-225-8754
2. By Credit Card Online: Click Here
3. MoneyGram: Please go to any MoneyGram location such as WalMart or CSV/pharmacy. Home Phone Receive Code: 7663
4. Ace: Please visit your nearest Ace payment location.
5. Retail Location: Please call 1-877-225-8754 for your nearest payment location.


