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Were about youExGratia request
Confidential
tel 061 285 5400
fax 061 230 465
email exgratia@nhp.com.na
website www.nhp.com.na
Unit 2, Demushuwa Suites, Corner of Grove and YubiKey Street,
Plane Upper,
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How to fill out ex gratia form
How to fill out ex-gratia application form 2019
01
Gather all the necessary information and documents required to fill out the ex-gratia application form 2019.
02
Start by providing your personal details such as your name, address, contact information, and social security number.
03
Specify the reason for applying for ex-gratia compensation and provide all relevant details related to the incident or event that caused the need for compensation.
04
Fill out the financial information section, including details of any insurance coverage, other benefits received, and any other sources of financial aid.
05
Attach any supporting documents, such as medical reports, police reports, or relevant receipts, to provide evidence for your claim.
06
Review the completed form to ensure all information is accurate and complete.
07
Sign and date the application form.
08
Submit the completed ex-gratia application form 2019 to the designated authority or organization either online or through the specified offline channels.
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Keep a copy of the application form and any supporting documents for your records.
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Follow up with the authority or organization to inquire about the status of your application, if necessary.
Who needs ex-gratia application form 2019?
01
Individuals who have suffered a loss, injury, or damage due to a specific incident or event may need to fill out the ex-gratia application form 2019.
02
These individuals seek financial compensation or aid from the designated authority or organization that offers ex-gratia settlements.
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It could include individuals affected by natural disasters, accidents, crimes, or other unforeseen circumstances where financial support is available through the ex-gratia application process.
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What is ex-gratia application form?
An ex-gratia application form is a document used to request compensation or financial assistance from an organization or government, usually in response to a specific situation or disaster, without admitting liability.
Who is required to file ex-gratia application form?
Individuals or entities that have suffered loss or damage and seek financial compensation or assistance from a specific program or fund are typically required to file the ex-gratia application form.
How to fill out ex-gratia application form?
To fill out an ex-gratia application form, one should carefully read the instructions provided, enter accurate personal and incident details, provide supporting documents, and review the form for completeness before submission.
What is the purpose of ex-gratia application form?
The purpose of the ex-gratia application form is to formalize requests for financial assistance or compensation, enabling the reviewing agency to assess eligibility based on the submitted information.
What information must be reported on ex-gratia application form?
The ex-gratia application form typically requires personal identification details, description of the incident, nature of the loss, evidence or documentation supporting the claim, and any relevant financial information.
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