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PROOF OF CLAIM AND RELEASE TO BE POTENTIALLY ELIGIBLE TO RECEIVE A SHARE OF THE NET SETTLEMENT FUND IN CONNECTION WITH THE SETTLEMENT OF THIS ACTION, YOU MUST COMPLETE AND SIGN THIS PROOF OF CLAIM
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How to fill out to be potentially eligible

01
To be potentially eligible, follow these steps:
02
Determine the eligibility requirements for the specific program or benefit you are applying for.
03
Gather all necessary documentation and information, such as identification documents, proof of income, and any other required supporting documents.
04
Fill out the application form completely and accurately.
05
Double-check your application form to make sure all information is correct and all required fields are filled out.
06
Submit your completed application along with any required documentation to the appropriate office or organization.
07
Follow up with the office or organization to ensure that your application is being processed and to provide any additional information if needed.

Who needs to be potentially eligible?

01
Anyone who is interested in accessing a particular program or benefit and meets the eligibility requirements needs to be potentially eligible.
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To be potentially eligible means meeting the initial criteria or requirements to qualify for a certain benefit or program.
Individuals or entities who believe they meet the initial criteria or requirements for a benefit or program are required to file to be potentially eligible.
To fill out to be potentially eligible, individuals or entities must gather the necessary documentation and information and submit an application or form as required by the specific benefit or program.
The purpose of being potentially eligible is to determine if an individual or entity meets the initial requirements for a benefit or program before undergoing a full eligibility assessment.
To be potentially eligible, individuals or entities must report relevant personal or financial information as requested by the benefit or program.
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