Get Wal Claim Form - Caa.doc

This guide provides clear instructions on how to complete the WAL Claim Form - CAA.DOC online, ensuring you submit a valid claim for a refund or flu shot voucher. Follow these steps to navigate the form with confidence and accuracy.

Follow the steps to complete your claim form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin by providing your Claimant Information, including your name (first, middle initial, last), daytime phone number, current street address, apartment or unit number (if applicable), city, state, and ZIP code.
3. Next, address the Qualification Information section by responding to the questions provided. For questions one and two, indicate whether you purchased the qualifying products during the specified time period, and whether you are including the necessary receipts.
4. If you have enclosed receipts for your qualifying purchases, you do not need to complete the fourth question. Instead, simply sign and date the form at the bottom.
5. If you do not have receipts, complete item four by providing details of your qualifying purchases. Include the date of purchase, specific product purchased, quantity, price per unit, and store location for each item.
6. Review all entered information to ensure accuracy, and make sure to sign and date the form as an affirmation of truthfulness regarding your statements.
7. Upon completing the form, follow the instructions to submit it to the Wal-born Settlement Administrator. You may also choose to save your changes, download, print, or share the form as necessary.

Submit your completed WAL Claim Form online today to ensure your claim is processed.