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Get Los Angeles Unified School District Claim For Damages To Person Or Property 2005-2024

The claim form must be signed by the claimant CLAIM FORM (or parent/guardian if claimant is a minor). 4. The filing of a claim form does not guarantee the claim will be paid RESERVED FOR FILING STAMP NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (PENAL CODE SEC. 72) 1. Name of Claimant: 2. Home Telephone: Business Telephone: 3. Address of Claimant: 4. Name and Address where you wish notices or communications to be sent: 5. Claimant s Date of Birth: 6. Claimant s Social Sec.

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