Completing The Claim Form Instruction Page 8
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9Signature, Date and Telephone Number
You and all other owners of record must sign and date the claim form.
No one, not even your spouse, can sign for you without authorization. If another
person signs the claim for you, a copy of the recorded power of attorney, letters of
conservatorship, or other document entitling that person to sign for you must be
enclosed with your claim.
You may sign by marking an “X” if this is done in the presence of a witness. The
word “Witness” and the signature of the witness must be entered after your mark.
Please include your daytime phone number on the claim.
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