Get Smart Dipp

Filling out the Smart Dipp claim form can be a straightforward process when approached step by step. This guide will provide you with clear instructions on how to complete each section effectively, ensuring your application is accurate and complete.

Follow the steps to successfully complete your Smart Dipp claim form.

1. Click ‘Get Form’ button to access the claim form and open it in your selected document editing tool.
2. In the first section, enter your full name and age accurately in the provided fields.
3. Fill in your complete address, including city, state, and zip code. Make sure to also input your telephone number.
4. Indicate your Local number and provide your Social Security number for identification purposes.
5. Specify the transportation industry you were employed by when the disciplinary action occurred.
6. State your occupation on the date of the incident.
7. Identify the discipline you received, indicating whether it was a dismissal or suspension.
8. Record the date of the incident that resulted in your removal from service.
9. Input the exact date and time when you last reported for duty.
10. Provide the date and time when the investigation regarding your case was conducted.
11. Detail the exact amount of time you lost due to attending the investigation.
12. Write a comprehensive report of your case, including details regarding the cause of your removal and any other relevant information. You may attach an additional sheet if necessary.
13. Answer whether the reason for your removal as stated by the company is correct.
14. If your answer to the previous question is no, clarify in what respect the information is incorrect.
15. Claim the number of days you are entitled to, indicating the start and end dates and the daily amount.
16. If you have been reinstated, state the date and time of your first day back to service.
17. Affirm your understanding of the responsibility to notify the DIPP department upon reinstatement, and digitally sign and date the form.
18. Ensure all questions have been answered, attach the necessary documents, and present the completed form to a local officer for attestation.
19. Have the local officer fill out their information and signature to validate your claim.

Complete and submit your Smart Dipp claim form online to ensure your claim is processed promptly.