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Nd DWH Identification Number on any additional pages. A. CLAIMANT INFORMATION The claimant must complete this section. Last Name Name: First Name Middle Initial Deepwater Horizon Settlement Program Claimant Number: Street Current Address: City State Social Security Number: Zip Code SSN or ITIN or Individual Taxpayer Identification Number: - - B. CAPTAIN INFORMATION If the claimant is a deckhand, his or her captain must com.
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