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APPLICATION FOR DELAYED CLAIM TO BENEFIT NAME I/C NO CLAIM NO I DECLARE THAT I DID NOT GIVE NOTICE WITHIN THE PRESCRIBED PERIOD TO MY *EMPLOYER/PRESCRIBED MEDICAL OFFICER AND/OR DEPARTMENT OF SOCIAL
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How to fill out application for delayed claim

01
Obtain the application form for delayed claim.
02
Read the instructions carefully before filling out the form.
03
Provide your personal information such as your name, contact details, and identification number.
04
Indicate the reason for the delay in your claim and provide any supporting documentation if required.
05
Include details about the claim, such as the amount being claimed and the date of the incident.
06
Double-check all the information you have provided to ensure accuracy.
07
Sign and date the application form.
08
Submit the completed form to the appropriate authority or organization as instructed.

Who needs application for delayed claim?

01
Anyone who has experienced a delay in their claim and wishes to file for compensation.
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An application for delayed claim is a formal request submitted to a relevant authority to seek acceptance of a claim after the usual deadline has passed.
Individuals or entities that are seeking to validate a claim after the deadline are required to file an application for delayed claim.
To fill out an application for delayed claim, you need to complete the required forms, provide necessary documentation supporting your claim, and submit them as instructed by the relevant authority.
The purpose of an application for delayed claim is to allow individuals or organizations to submit claims for consideration even after the standard filing deadlines, providing an opportunity for valid claims to be addressed.
The application must include the claimant's information, details of the original claim, reason for the delay in filing, and any supporting documentation.
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