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L sheet(s) if necessary. See reverse side for additional instructions. 1. Submit To Appropriate Federal Agency: 2. Name, Address of claimant and claimant s personal representative, if any. (See instructions on reverse.) (Number, Street, City, State and Zip Code) USDA, APHIS, FMD, BCT, CLAIMS BUTLER SQUARE WEST 100 N. 6th Street, Suite 510C Minneapolis, MN 55403 3. TYPE OF EMPLOYMENT 9 MILITARY 9 CIVILIAN 4. DATE OF BIRTH FORM APPROVED OMB NO. 1105-0008 5. MARITAL STATUS 6. DATE AND DAY.

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How to fill out the Usdasf Form online

Filling out the Usdasf Form online is a straightforward process designed to assist you in documenting your claim for damage, injury, or death. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete the Usdasf Form online.

  1. Click the ‘Get Form’ button to obtain the Usdasf Form and open it in your preferred digital editor.
  2. Begin by entering the name and address for the claimant and any personal representative if applicable. Make sure to include your complete information including street address, city, state, and zip code.
  3. Indicate your type of employment by marking either the military or civilian option as applicable.
  4. Provide your date of birth using the specified format.
  5. Select your marital status from the available options.
  6. Record the date and day of the incident that led to your claim.
  7. Specify the exact time of the incident, indicating whether it was in the A.M. or P.M.
  8. Detail the basis of your claim by stating the facts and circumstances surrounding the incident. Include identifying details of persons and property involved, along with the precise location and cause.
  9. For property damage claims, provide the name and address of the owner if it differs from the claimant. Briefly describe the property damaged and its current condition.
  10. For personal injury or wrongful death claims, describe the nature and extent of each injury or cause of death relevant to your claim.
  11. List any witnesses involved by providing their names and addresses.
  12. Complete the financial section by indicating the amounts for property damage, personal injury, and wrongful death claims. Ensure that you calculate the total as incomplete or missing information may jeopardize your claim.
  13. Certify your claim by signing the form and providing your phone number for contact.
  14. Finally, indicate the date of your signature.
  15. Once all information is accurately entered, save your changes, and prepare to download, print, or share the completed form as needed.

Take the next step in filing your claim by completing the Usdasf Form online today.

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The Animal and Plant Health Inspection Service (APHIS) was established by the Secretary of Agriculture on April 2, 1972, under the authority of Reorganization Plan No. 2 of 1953 and other authorities. The mission of the Agency is to protect the health and value of American agriculture and natural resources.

Marketing and Regulatory Programs (MRP) facilitates domestic and international marketing of U.S. agricultural products, protects U.S. plant and animal health, regulates genetically engineered organisms, administers the Animal Welfare Act, and carries out wildlife damage management activities.

The Animal and Plant Health Inspection Service protects and promotes U.S. agricultural health, regulates genetically engineered organisms, administers the Animal Welfare Act, and manages wildlife damage.

On April 2, 1972, USDA created the Animal and Plant Health Inspection Service (APHIS) to bring together several functions focused on protecting the health and welfare of the Nation's animals and plants.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232