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PUBLIC NOTICE Federal Communications Commission 445 12th St., S.W. Washington, D.C. 20554News Media Information 202 × 4180500 Internet: HTTP://www.fcc.gov TTY: 18888355322DA 151381 December 4, 2015, CONSUMER

How to fill out da 15-1381

How to fill out DA 15-1381:

1. Start by entering information about the claimant, such as their name, address, and contact details. This section ensures that the appropriate individual is identified.
2. Next, provide information about the incident that occurred, including the date, time, and location. Be as specific as possible to accurately document the event.
3. Describe the incident in detail, explaining what happened, who was involved, and any relevant factors. This section provides a clear understanding of the circumstances surrounding the claim.
4. If there were any witnesses present during the incident, their names and contact information should be included. This helps establish credibility and can support the claimant's case.
5. In the following sections, provide details about any injuries or damages sustained as a result of the incident. Include a description of the injuries, medical treatment received, and any documents or evidence supporting the claim.
6. If applicable, provide information about any loss of income or financial hardship experienced as a result of the incident. This may include documentation such as pay stubs or proof of employment.
7. Finally, review the completed DA 15-1381 form for accuracy and completeness. Ensure that all required information has been provided before submitting the claim.

Who needs DA 15-1381:

1. Military personnel - Individuals who are serving or have served in the military and have experienced an incident or injury while on duty may need to fill out DA 15-1381 as part of the claims process.
2. Civilian employees - Civilian employees working for the Department of Defense or other government agencies who have suffered an incident or injury while on duty may also need to complete this form.
3. Dependents - Dependents of military personnel or civilian employees who have been involved in an incident or suffered an injury while under the care or supervision of the military or government agency may need to fill out DA 15-1381.

Overall, anyone who has experienced an incident or injury related to military service or government employment may need to fill out DA 15-1381. It is important to consult with the appropriate authorities or legal advisors to determine if this form is required in your specific situation.

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