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DUPLICATION OF BENEFITS CERTIFICATION FORM MUST BE RETURNED BY ___, 2024 Duplication of Benefit As cited in Section 312 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C.
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How to fill out duplication of benefits and

01
Obtain the duplication of benefits form from the appropriate organization.
02
Fill out personal information such as name, address, and contact information.
03
Provide details on the original benefits received such as insurance payouts or government assistance.
04
Include any documentation or proof of benefits received.
05
Sign and date the form before submitting it for review.

Who needs duplication of benefits and?

01
Individuals who have received multiple types of benefits for the same incident or event.
02
Insurance companies or government agencies looking to prevent double payouts.
03
Organizations trying to accurately assess the total benefits received by an individual or entity.
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Duplication of benefits occurs when a person receives assistance from more than one source for the same loss or damage.
Individuals who have received assistance from multiple sources for the same loss or damage are required to file duplication of benefits.
Duplication of benefits forms can be filled out by providing details of all sources of assistance that have been received for the same loss or damage.
The purpose of duplication of benefits is to prevent individuals from receiving more assistance than the actual loss or damage incurred.
Information that must be reported on duplication of benefits includes details of all sources of assistance received, the amount received from each source, and the nature of the loss or damage.
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