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2043597Claim 10211Filed 10/02/20Main Document 1 of 3Fill in this information to identify the case:FILEDDebtor 1 Briggs & Stratton Corporation Debtor 2U. S. Bankruptcy Court Eastern District of Missouri
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01
Obtain claim form 1021-1 from the appropriate source.
02
Fill in the personal information section with your name, address, phone number, and any other required contact details.
03
Provide details of the claim, including the date of the incident, location, witnesses (if any), and a brief description of what occurred.
04
Attach any supporting documentation, such as photos, receipts, or police reports, if applicable.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed claim form to the relevant authority or department as instructed.

Who needs claim 1021-1?

01
Individuals who have experienced a loss or damage that they believe is eligible for compensation.
02
Employees of an organization that requires them to file claims for reimbursement or coverage.
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Claim 1021-1 is a form used to request compensation for a specific type of loss or damage.
Any individual or entity who has experienced the loss or damage that claim 1021-1 covers is required to file the claim.
Claim 1021-1 can be filled out by providing detailed information about the loss or damage, along with supporting documentation.
The purpose of claim 1021-1 is to request compensation for identifiable losses or damages.
Information such as the date and details of the loss or damage, the amount of compensation being requested, and any supporting documentation must be reported on claim 1021-1.
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