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Claims Reported In The Prior Year That Are No Longer Pending - Official Federal Forms

Claims Reported In The Prior Year That Are No Longer Pending Form. This is a national form and can be used in Civil Division US Department Of Justice .
 Fillable pdf Last Modified 5/6/2013
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CASES THAT ARE NO LONGER PENDING BUT WERE PREVIOUSLY REPORTED IN THE LEGAL REPRESENTATION LETTER FOR THE PERIOD ENDING: (Please check the appropriate reporting period) FY 2012 YEAREND REPORTING AGENCY/COMPONENT: AGENCY'S MATERIALITY LEVEL FOR REPORTING: (This is your agency threshold for materiality.) FY 2013 INTERIM REPORTING 1. Case Name. (Include case citation, case number, and other names by which the case or group of cases is commonly known.) 2. The Sequence Number. (Number that was assigned in the FY 2012 Legal Letter.) Number # of total 3. Resolution of the Case. (Provide a brief description of how the case was resolved, including date of resolution and the amount of settlement or judgment , if applicable.) DOJ Attorney Comments 4. The Name and Phone Number of the Agency and DOJ Attorneys Handling the Case. (Include any outside legal counsel/other lawyers representing or advising the government in the matter.) DOJ Attorney Comments Attorney-Client Agency Work Product Privilege Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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