DII Industries, LLC Asbestos PI Trust

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Deficiency - 401 - Exposure Information does not Match Claim Form

Explanation: Exposure Information does not Match Claim Form

Instructions: The information that you have submitted regarding the industry, occupation, work site, employer and/or the years of exposure of the Injured Party, is inconsistent with information provided in the medical reports, attachments, affidavits, depositions, and/or other supporting documents submitted with the claim. Please update the Claim Form to match the information that has been provided in the attached documentation or provide an explanation with evidence that the information stated on the Claim Form is correct.

Option: BOTH

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