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Case 2:09-md-02047-EEF-JCW Document 17170-2 Filed 10/14/13-Page 1 of 24 EXHIBIT 1 Case 2:09-md-02047-EEF-JCW Document 17170-2 Filed 10/14/13-Page 2 of 24 CHINESE DRYWALL SETTLEMENT PROGRAM CLAIM FORM
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How to fill out real property claim form

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How to fill out a real property claim form:

01
Start by reading the instructions: Before you begin filling out the form, take some time to carefully read through the instructions provided with the real property claim form. This will ensure that you understand the requirements and provide accurate information.
02
Gather all necessary documentation: Collect all the relevant documents and evidence to support your claim. This may include property ownership documents, photographs, repair estimates, and any other supporting materials.
03
Begin with personal information: The real property claim form will typically ask for your personal details, such as your name, address, contact information, and insurance policy number. Fill in this information accurately and legibly.
04
Describe the property: Provide a detailed description of the real property that needs the claim. Include the address, type of property (residential, commercial, etc.), and any specific details that are relevant to the claim.
05
Explain the incident: Describe the incident or event that resulted in the damage to the property. Include as much detail as possible, such as the date, time, and cause of the damage. Be concise but thorough in your description.
06
Provide contact information of witnesses (if applicable): In case there were any witnesses to the incident or if someone else was involved, provide their contact information. This helps validate your claim and may be necessary for further investigation.
07
Document the damages: Use the form's designated sections to outline the specific damages sustained by the property. Take notes or provide photographs if necessary to support your claims. Be as detailed as possible, mentioning affected areas and any significant losses.
08
Estimate the cost of repairs or replacement: If you have obtained estimates for repairing or replacing the damaged property, include them in the appropriate section of the form. This helps determine the value of your claim.
09
Sign and date the form: Once you have completed all the required sections of the real property claim form, review it for accuracy and make any necessary corrections. Sign and date the form to validate your submission.

Who needs real property claim form?

01
Property owners: Real property claim forms are typically needed by property owners who have experienced damage to their property due to various incidents such as accidents, natural disasters, or vandalism.
02
Insurance policyholders: Individuals who have property insurance coverage will often need to fill out a real property claim form when making a claim for damages covered by their policy. This form is necessary to initiate the claims process and provide the insurer with necessary information.
03
Tenants or lessees: In some cases, tenants or lessees may be required to fill out a real property claim form to report damages to the property they are renting or leasing. This enables them to request repairs or seek compensation for the damages sustained during their tenancy.
Note: The specific parties who need to fill out a real property claim form may vary depending on the circumstances and the requirements of the insurance company or relevant authorities involved.
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