Spiff Claim Form

Spiff Claim will not be processed without a valid Spiff Number, valid Serial Number, and your Social Security number. Your Social Security Number is required. You will be contacted at the phone number you provide if CMA does not have your SS# on file. 
 
Please enter all required information.
* Required fields
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.