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United States Department of Labor Employees Compensation Appeals Board ___ D.M., Appellant and U.S. POSTAL SERVICE, POST OFFICE, New Orleans, LA, Employer ___))))))))Appearances: Alan J. Shapiro,

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How to fill out 20-1378 dm and us

01

Start by filling out your personal information in Section I.

02

In Section II, fill out the information related to the type of claim.

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Section III is for listing any potential witnesses to the incident.

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In Section IV, provide a detailed description of the incident that led to the claim.

05

Section V is where you can list any medical treatment received as a result of the incident.

06

Section VI is for additional remarks or information.

07

Review the form for completeness and accuracy before signing and dating in Section VII.

Who needs 20-1378 dm and us?

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Individuals who have been involved in an incident and are seeking to file a claim for damages in the United States Military may need to fill out form 20-1378 dm and us.

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