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BCP/ACCRA HOME SAFE PROGRAM CLAIM FORM Submission Date___ Page ___ of ___ PLEASE PRINT LEGIBLYName of Performer: ___Performers Signature: ___Membership Number: ___ Telephone Number: DateProductionOFFICE

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What is home-safe-taxi-program-claim-formpdf?

The home-safe-taxi-program-claim-formpdf is a document that individuals use to submit claims for reimbursement of taxi fares under the Home Safe Taxi Program.

Who is required to file home-safe-taxi-program-claim-formpdf?

Individuals who have incurred eligible taxi expenses as part of the Home Safe Taxi Program are required to file the claim form.

How to fill out home-safe-taxi-program-claim-formpdf?

To fill out the home-safe-taxi-program-claim-formpdf, provide personal information, the details of the taxi rides, including the dates, destinations, and amounts paid, and attach any required receipts.

What is the purpose of home-safe-taxi-program-claim-formpdf?

The purpose of the home-safe-taxi-program-claim-formpdf is to allow eligible individuals to request reimbursement for taxi fares incurred while participating in the program to ensure safe transportation home.

What information must be reported on home-safe-taxi-program-claim-formpdf?

The form must report personal information, taxi ride details, including fare amounts, dates of service, and attach any necessary proof of payment.

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