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Get government claim form 2015-2024

Section 72). Date: Signature of Claimant or Representative 25 Printed Name Mail this form and all attachments with the $25 filing fee or the Filing Fee Waiver Request to: Government Claims Program, P.O. Box 3035, Sacramento, CA, 95812-3035. Forms can also be delivered to the Victim Compensation and Government Claims Board, 400 R Street, 5th Floor, Sacramento 95811. VCGCB-GC-002 (Rev. 10/15).

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