Exhibit B (Claim Form) - SC Superior Court E-Filing Preview on Page 1

Exhibit B (Claim Form) - SC Superior Court E-Filing 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name, address, city, state, and zip code in the designated fields. Ensure all information is accurate to avoid delays.
  3. Provide your home telephone number and the last four digits of your Social Security Number as required.
  4. Review the Employment Data section carefully. If you agree with the details provided, check the corresponding box. If you wish to challenge any information, select that option and attach a written statement with supporting evidence.
  5. Sign and date the form in the Release and Signature section. This step is crucial as it confirms your agreement to the terms outlined.
  6. Complete the Taxpayer Identification Number Certification by filling in the last four digits of your Social Security Number again.
  7. Before submitting, review all entries for accuracy. Retain a copy of your completed form for your records.

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