Hawaii Certificate Of Discharge Form D.2

State:
Hawaii
Control #:
HI-KH-017-18
Format:
PDF
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Description

A18 Certificate of Discharge

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1.2. 2 Vessel Discharges Eligible for Coverage .To Part 45—DD Form 214WS Appendix C to Part 45—DD Form 215 Appendix D to Part 45—State Directors of Veterans Affairs Authority: 10 U.S.C. 1168 and 972. Any other forms pertaining to crew actions. 2. Type or print legibly in black ink. 2. Review DD Form 214 Worksheet application: 3. Items 1 - 12 — D. Give the name of the broker-dealer and date on each page. Discharge Elimination System (NPDES) Notice of General Permit. Only the Division of Insurance can approve names of insurance carriers.

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Hawaii Certificate Of Discharge Form D.2