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ELIZABETH BOARD OF EDUCATION NOTICE OF CLAIM FORM PURSUANT TO N.J.S.A. 59 1-1 ET SEQ. THE NEW JERSEY TORT CLAIMS ACT 1. The date School and/or location and other circumstances of the occurrence which gave rise to the claim asserted herein 4. Attach all itemized bills for medical dental and hospital expenses incurred or all itemized receipts of payment for such expenses. Name of Claimant Address Social Security Number 2. Post Office Address to which Claimant desires notices and correspondence...
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