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CLAIM FORM INJURY FUND BENEFIT OPTION C SUAVE 30-DAY SMOOTHING KIT SETTLEMENT PLEASE READ THIS CLAIM FORM AND THE NOTICE CAREFULLY TO DETERMINE WHETHER YOU ARE ELIGIBLE TO SUBMIT A CLAIM FOR PAYMENT

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What is claim form injury fund?

The claim form injury fund is a document used to apply for financial assistance for injuries sustained on the job.

Who is required to file claim form injury fund?

Employees who have been injured on the job and are seeking financial assistance for their injuries are required to file claim form injury fund.

How to fill out claim form injury fund?

To fill out claim form injury fund, individuals must provide details about the injury, the circumstances surrounding the injury, and any medical treatment received.

What is the purpose of claim form injury fund?

The purpose of claim form injury fund is to provide financial assistance to employees who have been injured on the job.

What information must be reported on claim form injury fund?

Information that must be reported on claim form injury fund includes details about the injury, medical treatment received, and the circumstances surrounding the injury.

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