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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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How to fill out the Formsmediclinic Co Za online

Completing the Formsmediclinic Co Za is essential for providing accurate information for your claim. This guide will walk you through each section of the form to ensure you complete it correctly and efficiently.

Follow the steps to fill out the Formsmediclinic Co Za accurately.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Begin with section A, 'Claimant Information.' Here, you will fill in your last name, first name, and middle initial. Next, include your Deepwater Horizon Settlement Program Claimant Number, current address, Social Security Number, or Individual Taxpayer Identification Number.
  3. Next, move to section B if applicable. If you are a deckhand, your captain must provide their information, including their name, current address, commercial fishing license number, and the date of issue and expiration.
  4. Still in section B, specify the areas where you harvested seafood before the spill. Then, indicate whether any of these areas were closed or harmed due to the spill, and if so, describe how it affected your employment.
  5. Complete the table detailing the species of seafood provided to the claimant, the pounds distributed per harvest, and the frequency of these harvests, as instructed in section B.
  6. If you are required to complete section C and have bartered seafood or witnessed bartering activity, enter the necessary information, including your name, relationship to the claimant, and a description of the bartering activities.
  7. Fill out the relevant bartering table similar to that in section B, providing details of the species bartered, pounds bartered, frequency of bartering, and the items or services received in exchange.
  8. Finally, in section D, you must sign and date the form, affirming that the information provided is true and accurate. Ensure your printed name follows your signature.
  9. After you have filled out all the required sections, review the form for accuracy. Save any changes made, and when ready, download, print, or share the completed form as necessary.

Start filling out the Formsmediclinic Co Za online today to ensure your claim is processed efficiently.

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