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Cover Sheet for Return of Completed Private Physician Forms

Cover Sheet for Return of Completed Private Physician Forms 2025

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The document is a cover sheet for the submission of completed Private Physician forms and associated records to the Victim Compensation Fund (VCF). It serves to notify the VCF that all relevant documents have been received for a claim, and provides options for claimants regarding how their physician's information will be submitted. The form emphasizes the importance of submitting all documents together or indicating if physicians will send them directly.

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