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CERCLA.pdf
Apr 24, 2013 The evidence shall be accompanied by a statement au- thorizing the applicant to act for and in behalf of each participant in submitting and
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25.117 Proof of amount claimed for personal injury or death.
The following evidence must be presented when appropriate: (a) Itemized medical, hospital, and burial bills. (b) A written report by the attending physician
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Instructions for Filing a Proof of Death Claim Form
If the benefit amount is $200,000 or less, a copy of the death certificate showing cause and manner of death is acceptable.
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