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This claim form is for individuals who purchased Shutterfly General Spend Groupons between June 1, 2015, and April 30, 2018, as part of a class action settlement. The form allows members to claim either free promotional codes or a cash refund based on the terms of the settlement.
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How to fill out claim form

How to fill out claim form
01
Gather required documents such as receipts and proof of loss.
02
Read the instructions carefully on the claim form.
03
Fill in your personal information including name, address, and contact details.
04
Provide policy number and any relevant reference numbers.
05
Describe the incident or reason for the claim in detail.
06
Attach all necessary documentation to support your claim.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form.
Who needs claim form?
01
Anyone who has suffered a loss or damage and wishes to claim compensation under an insurance policy.
02
Policyholders of an insurance plan that covers specific losses.
03
Individuals or organizations needing reimbursement for incurred expenses related to the insured incident.
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What is claim form?
A claim form is a document used to request payment or reimbursement for expenses incurred, or to assert a right to benefits under an insurance policy, warranty, or similar agreement.
Who is required to file claim form?
Typically, individuals or entities seeking compensation, benefits, or reimbursement are required to file a claim form. This includes policyholders, beneficiaries, and sometimes third parties.
How to fill out claim form?
To fill out a claim form, you should start by reading the instructions carefully, provide accurate personal information, detail the nature of the claim, attach necessary documents or evidence, and sign the form before submission.
What is the purpose of claim form?
The purpose of a claim form is to formally initiate the process of seeking compensation, outlining the basis of the claim and the supporting information required for evaluation.
What information must be reported on claim form?
Information typically required on a claim form includes the claimant's personal details, description of the incident or expense, date and location of the event, supporting documentation, and any relevant policy or account numbers.
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