Need to make changes, request information, or report an issue? Use the Online Contact Form – It’s Quick and Easy!

Claimants and beneficiaries can request claim information, make many types of changes, and/or report an issue using the Online Contact Form:

Account Updates/Changes:

  • Address Change
  • Direct Deposit Change
  • Report of Death

Requests for Information and/or to Report Issues:

  • 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 access the Online Contact form, follow these steps:

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.

If you have questions or need assistance, please contact us at 800-347-2502.