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APPENDIX D4 Beneficiary Eligible Mitigation Action Certification1BENEFICIARY ELIGIBLE MITIGATION ACTION CERTIFICATION State of West Virginia Beneficiary ___WV DOT/Division of Highways Lead Agency
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Obtain the certification for beneficiary status form from the relevant authority.
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Fill out the form completely and accurately, providing all requested information.
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Who needs certification for beneficiary status?

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Individuals or organizations seeking to establish their eligibility for special benefits or privileges.
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Certification for beneficiary status is a document that confirms an individual's eligibility to receive certain benefits or privileges.
Individuals who wish to receive specific benefits or privileges are required to file certification for beneficiary status.
To fill out certification for beneficiary status, individuals must provide accurate information and follow the instructions provided on the form.
The purpose of certification for beneficiary status is to verify and authenticate an individual's eligibility for certain benefits or privileges.
Certification for beneficiary status may require information such as personal details, eligibility criteria, and supporting documentation.
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