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Case Questionnaire for Shipp Needham Economic Analysis Case Data Completed by Date Submitted Date Report Requested Type of Case ( ) Personal Injury ( ) Wrongful Death ( )Wrongful Termination Injured

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Start by reading the instructions carefully before filling out the form.

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Provide accurate and detailed information about the criminal impact.

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Who needs form impact of criminal?

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Individuals who have been victims of a crime and want to document the impact of the criminal activity on their lives.

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The form impact of criminal is a document used to assess the potential effects of a criminal record on an individual's life, including employment and housing opportunities.

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Individuals who have a criminal record or relevant criminal history may be required to file the form to disclose their information for employment or other legal purposes.

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