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Case 4:20cv04412JSW Document 484 Filed 05/20/21-Page 1 of 63Exhibit 1Case 4:20cv04412JSW Document 484 Filed 05/20/21-Page 2 of 631 M. ANDERSON BERRY (262879) aberry@justice4you.com 2 LESLIE DILLON

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How to fill out settlement claim form

01

Obtain the settlement claim form from the appropriate organization or agency.

02

Carefully read through the instructions on the form to understand what information is required.

03

Fill out your personal information such as name, address, and contact information.

04

Provide details about the settlement or claim being made, including dates, amounts, and supporting documentation.

05

Sign and date the form as required.

06

Double check all information for accuracy before submitting the form.

Who needs settlement claim form?

01

Individuals who are entitled to receive a settlement from a legal case or class action lawsuit.

02

Employees who are seeking compensation for workplace disputes or discrimination.

03

Insurance policyholders who are filing a claim for damages or losses.

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What is settlement claim form?

The settlement claim form is a document used to request compensation for damages or losses.

Who is required to file settlement claim form?

Anyone who has suffered damages or losses and is seeking compensation is required to file a settlement claim form.

How to fill out settlement claim form?

To fill out a settlement claim form, you need to provide detailed information about the damages or losses you have suffered and the compensation you are seeking.

What is the purpose of settlement claim form?

The purpose of the settlement claim form is to formally request compensation for damages or losses.

What information must be reported on settlement claim form?

The settlement claim form must include information about the damages or losses suffered, the cause of the damages or losses, and the amount of compensation being sought.

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