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N Y C F I N ONCE NEW YORK THE CITY OF NEW YORK DEPART TRENT OF FINANCE Print or Type nyc.gov/finance CLAIM FOR REAP CREDIT APPLIED TO THE UTILITY TAX 9.5UTX ATTACH TO FORM CURB, CUP, or FOCUS Name

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How to fill out 2004 nyc-95 utx claim

01

Step 1: Begin by gathering all the necessary information and documents required to fill out the 2004 NYC-95 UTX claim form. This may include personal details, accident/incident information, medical records, and any supporting evidence.

02

Step 2: Carefully read through the instructions on the claim form to ensure you understand the requirements and guidelines.

03

Step 3: Start filling out the form by entering your personal details, such as your full name, address, contact information, and Social Security number.

04

Step 4: Provide a detailed account of the accident or incident that led to the claim. Include the date, time, location, and provide a clear description of what happened.

05

Step 5: If there were any witnesses, include their names and contact information.

06

Step 6: If you received medical treatment due to the incident, provide details of the healthcare providers, treatments received, and attach any relevant medical records or bills.

07

Step 7: If there were any property damages or losses, provide details and attach any supporting documentation.

08

Step 8: Review the completed form to ensure all the required information has been provided and there are no errors or omissions.

09

Step 9: Sign and date the form.

10

Step 10: Make a copy of the completed form and all supporting documents for your records.

11

Step 11: Submit the filled-out form and supporting documents to the appropriate department or authority as instructed on the form.

12

Step 12: Follow up on the claim status as necessary.

Who needs 2004 nyc-95 utx claim?

01

The 2004 NYC-95 UTX claim is intended for individuals who have experienced an accident or incident within New York City limits that resulted in personal injuries, property damages, or losses.

02

This claim form may be needed by individuals who want to seek compensation or reimbursement for medical expenses, property damages, or other losses caused by the accident or incident.

03

People who were involved in accidents, incidents, or events such as slip and falls, vehicle accidents, property damage due to city activities, or other similar incidents may need to fill out this claim form.

04

It is advisable to consult with legal professionals or insurance experts for specific guidance on whether the 2004 NYC-95 UTX claim is applicable in a particular situation.

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What is nyc-95 utx claim for?

The nyc-95 utx claim is for reporting and claiming reimbursement for expenses related to vehicle use during official NYC business.

Who is required to file nyc-95 utx claim for?

Employees who use their personal vehicles for official NYC business are required to file nyc-95 utx claim.

How to fill out nyc-95 utx claim for?

To fill out nyc-95 utx claim, employees need to accurately report mileage, expenses, and purpose of the trip using the designated form.

What is the purpose of nyc-95 utx claim for?

The purpose of nyc-95 utx claim is to ensure employees are reimbursed for expenses incurred while using their personal vehicles for official NYC business.

What information must be reported on nyc-95 utx claim for?

Information such as mileage, date of travel, purpose of trip, expenses incurred, and supporting documentation must be reported on nyc-95 utx claim.

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