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By signing this claim form, I confirm that:

I have fully read and understood the contents of this claim form.

The information provided by me in this claim form is a true, accurate, and factual representation of the condition of the property in which I currently reside.

All incidents, defects, disrepair issues and consequential effects upon the people living within the property, as reported within this form, are based on my genuine experiences and observations.

I acknowledge providing false or misleading information may have legal consequences, including the potential rejection of my claim and being financially accountable for any misleading information.