If you received a personalized notice in the mail or via email with a Notice ID and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Notice ID exactly as it appears on your personalized Notice, (i.e. 12345678).

Submit a Request for Financial Shield

You are eligible for twenty-four (24) months of the Financial Shield service provided by Pango beginning on the Effective Date. Complete this form to submit a request for Pango’s Financial Shield. You will receive an email with your activation code when the Financial Shield service is active.

* Required Fields