INSTRUCTIONS DIVISION'S CERTIFICATION FOR DIVISION USE - in 2026

1. Click ‘Get Form’ to open the INSTRUCTIONS DIVISION'S CERTIFICATION FOR DIVISION USE - in in the editor.
2. Begin by entering your name and address in the designated fields. Ensure that all information is accurate for proper processing.
3. Fill in the Fund number (10340) and provide your city and state. This information is crucial for identifying your claim.
4. Input your Social Security Number or Federal ID Number as required, keeping in mind the privacy notice regarding its necessity.
5. List services rendered in chronological order, ensuring all claims for the covered period are included as per instructions.
6. Attach original receipts for any reimbursable expenses claimed, as this is mandatory for processing your request.
7. Review all entries carefully before submitting to ensure accuracy and compliance with filing requirements within ninety days.

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