Claim Form Instructions definition
Examples of Claim Form Instructions in a sentence
The Settlement Website shall also contain Claim Form Instructions and a Claim Form which may be downloaded or printed from the Settlement Website, and a Spanish-language translation of the Website Notice, Claim Form Instructions, and Claim Form, and such other documents as Class Counsel and Allstate’s Counsel agree upon.
The condition code fields are described in Items 24-30 of the "Inpatient Hospital, UB-92 Claim Form Instructions." The measure will be calculated per MCP (i.e., to include the MCP's entire service area for the CFC membership.
UB-92 Claim Form Instructions." The measure will be calculated per MCP (i.e., to include all counties serviced by the MCP).
Full compliance with the requirements of Sections 7.1 and 7.2 and the Claim Form Instructions shall be necessary for the submission of a valid Claim, and the failure to meet any of these requirements shall invalidate the proffered Claim.
The Claim Form otherwise does not meet the requirements of this Settlement Agreement, the Class Notice, or the Claim Form Instructions.
Store Name Store # Address Agent Date Zip Date Problem Occurred Model # Serial# Date Installed Part# Description Defect: Part# Part# Part# Description Description Description Defect: Defect: Defect: Warranty Claim Form Instructions Title of Entry Description of Entries 1.
The Claim Form Instructions and Claim Form, in the form and content attached as Exhibits C and D to the Settlement Agreement, shall be included with the Mail Notice.
Class Action Settlement Claim Form and Claim Form Instructions Enter the 17-digit VIN in the boxes above.
The Claim Form Instructions and Claim Form (also part of Exhibit 2), shall be included with the Notice, shall be included with the Mail Notice.
A Settlement Website will be set up for the Settlement Class Members to access the Settlement Agreement, including the Class Notice, Claim Form, and Claim Form Instructions.