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Case 1:12md02409WGY Document 15131 Filed 04/02/15-Page 3 of 76 EXHIBIT 1 Case 1:12md02409WGY Document 15131 Filed 04/02/15-Page 4 of 76 Case 1:12md02409WGY Document 15131 Filed 04/02/15-Page 5 of
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01
Make sure you have all the required information before filling out the form. This includes the case number, date of offense, and name of the defendant.
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Indicate your relationship to the case. Are you the defendant, a witness, or a representative of the plaintiff or defendant? Check the appropriate box and provide any additional details requested.
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Fill in the details of the offense. Include the date, time, and location of the incident. Provide a brief description of what occurred and any other relevant information that may help clarify the situation.
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If applicable, provide details of any injuries sustained or damages incurred as a result of the offense. Include copies of any medical reports or repair estimates that support your claims.
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Sign and date the form at the bottom, certifying that the information provided is true and accurate to the best of your knowledge.

Who needs 03 - gerstein decl?

The 03 - gerstein decl form is typically required in legal proceedings and is used to provide a written statement of the facts surrounding an offense or incident. The following individuals may need to fill out this form:
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It is important to follow the guidelines and procedures of the specific jurisdiction or legal entity requiring the 03 - gerstein decl form. Be sure to consult with the appropriate authorities or legal counsel to understand the exact requirements for filling out this form in your particular case.
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03 - gerstein decl refers to a declaration form used in legal proceedings.
The individuals or parties involved in the legal proceedings are required to file 03 - gerstein decl.
To fill out 03 - gerstein decl, one must provide accurate and relevant information pertaining to the legal case.
The purpose of 03 - gerstein decl is to document and declare information relevant to the legal proceedings.
Information such as names of parties involved, case details, and any relevant dates or events must be reported on 03 - gerstein decl.
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