Notice of Collection of Personal Information - Applicants for Payment under Section 4

This form is required to explain to applicants the use of information that they provide to the Fund in order to assess and administer payment out of the Motor Vehicle Accident Claims Fund.

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Form Number 007-11392
Title Notice of Collection of Personal Information - Applicants for Payment under Section 4
Description This form is required to explain to applicants the use of information that they provide to the Fund in order to assess and administer payment out of the Motor Vehicle Accident Claims Fund.