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City of Jackson Office of Economic Development Special Economic Development Grant BUSINESS NAME: ___APPLICANT NAME: ___DUPLICATION OF BENEFITS CERTIFICATION FORM Duplication of Benefits as cited in
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How to fill out duplication of benefits certification

01
Obtain the duplication of benefits certification form from the appropriate agency or organization.
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Fill out the form completely and accurately, providing all requested information.
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Submit the completed form to the designated office or individual for review and processing.
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Keep a copy of the completed form for your records.

Who needs duplication of benefits certification?

01
Individuals or households applying for disaster assistance programs that may be eligible for benefits from multiple sources.
02
Organizations or agencies administering disaster assistance programs that need to ensure applicants are not receiving duplicate benefits.
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Duplication of benefits certification is a process to ensure that individuals do not receive duplicate payments for the same loss from multiple sources.
Individuals who have received disaster assistance from multiple sources are required to file duplication of benefits certification.
Duplication of benefits certification can be filled out online or through a paper form provided by the relevant disaster assistance program.
The purpose of duplication of benefits certification is to prevent individuals from receiving duplicate payments and to ensure that resources are distributed efficiently.
Information such as the amount and sources of disaster assistance received, details of the losses incurred, and any insurance coverage must be reported on duplication of benefits certification.
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Relevant keywords

2020 1974 sba eidl ppp covid resiliency duplication cumulative subscribed affirm certification amended certify applicant notary exceeds cited notwithstanding submission expires beneficiary receives stafford accordance entity

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