Claimant Declaration definition

Claimant Declaration means the declaration, signed by each Claimant and duly notarized, that appears at the conclusion of the Claim Form. Each declaration shall state: "I declare, under penalty of perjury, that (a) the foregoing is true and correct to the best of my knowledge and belief, (b) I have submitted copies of all documents in my possession relating to the policy that is the subject of my claim, and (c) all such copies (if any) are authentic and unaltered copies of the original documents."
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Examples of Claimant Declaration in a sentence

  • In order to recover under this Settlement Agreement, Class Members must electronically file, hand-deliver, email or mail a properly executed Claimant Declaration in the form attached as Schedule A along with a Physician’s Declaration (if applicable) in the form attached as Schedule D such that they are received by the Claims Administrator no later than 5:00 p.m. Pacific Time on the applicable Submission Deadline.

  • Within 7 days after the Registration Deadline, to the extent applicable, Primary Counsel shall submit a Disengaged Claimant Declaration, in the form of Exhibit 1, to the Settlement Administrator and the Philips Defendants, listing all their Eligible Claimant clients Primary Counsel was unable to contact prior to the Registration Deadline, despite repeated good faith attempts to do so.

  • Complete the relevant sections and sign the Claimant Declaration and Authorization.