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Your claim must be submitted online or postmarked by: February 7, 2024UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORKSWETZ V. CLOROX CO.PINECASE NO. 7:22CV09374PMHCLAIM FORMCLAIM FORM INSTRUCTIONS

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How to fill out your claim form must

01

Fill in your personal information, including your name, address, and contact details.

02

Provide details of the incident or event that prompted your claim. Include the date, time, and location.

03

Describe the damage or loss you have suffered. Be as specific as possible.

04

Attach any supporting documents or evidence, such as photographs, receipts, or medical records.

05

Indicate the amount of compensation or relief you are seeking.

06

Sign and date the claim form to acknowledge the accuracy of the information provided.

07

Submit the completed form to the appropriate authority or organization.

Who needs your claim form must?

01

Anyone who has experienced a qualifying event or incident that entitles them to file a claim.

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What is your claim form must?

Your claim form must clearly outline the basis for your claim, including relevant details and supporting information to substantiate your request.

Who is required to file your claim form must?

Individuals or entities seeking reimbursement, benefits, or relief are required to file the claim form, as specified by the relevant authority or program.

How to fill out your claim form must?

To fill out your claim form, provide accurate personal information, detail the nature of the claim, attach necessary documentation, and review for completeness before submission.

What is the purpose of your claim form must?

The purpose of your claim form is to formally request consideration for benefits, compensation, or relief based on a specified loss or event, allowing for an organized review process.

What information must be reported on your claim form must?

Your claim form must report personal identification details, a description of the claim, any associated costs or losses, and supporting evidence as required by the guidelines.

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