Water claim form pdf. The claim form must be notarized.

The ADA Dental Claim Form provides a common format for reporting dental services to a patient's dental benefit plan. 5. Phone Weight of items claimed Claimant Information (Address where correspondence pertaining to the claim will be mailed) City IRDA REG. a plumber’s invoice or insurance documents). CS-028 Lippert Warranty Claim Form. 1. Completed forms should be submitted by email to wateramountdue@phila. Quick steps to complete and e-sign Water loss claim form ethekwini municipality online: Use Get Form or simply click on the template preview to open it in the editor. If you've purchased the item directly through Dometic. 04. View the links below to find member forms you can download, making it quicker to take action on claims, reimbursements and more. Mail Form To: A. 8) Make copy of complete form for your records. How to File a Claim. Look for the section related to water loss claims or search for "eFormkwini water loss claim" on the website. Call 1-800-LOTTERY(568-8379), or visit any Lottery District Office to reques t a Multiple Ownership Claim form for group players (less than 100) sha ring prizes of $1,000,000, or The Claims Management Portal is now live and available for submitting new claims related to the Camp Lejeune Justice Act of 2022. Please note that the list of documents It is estimated that the contaminants were in the water supply from the mid-1950’s until February 1985 when the wells were shut down. Same day repair option depends upon claim approval time and technician availability. Along with the claim form, family members must provide evidence that proves their relationship to the veteran. with submitting a claim form, please contact us at 1-833-839-0648You may submit the claim form that is completed and signed by email to VeteransPension@kpmg. You can submit a claim form online or on paper for compensation under the First Nations drinking water settlement. 1319-2) 13b: Confidential filed under seal (filed 11/18/20 – ECF No. Applicant Information. Include the day/time and place your electronic signature. Repairs are performed by an Asurion-certified technician and come with a 12-month warranty. Repairs may use new or refurbished parts; may contain original or non-original manufacturer parts; and may void the manufacturer warranty. 1319-2) THE ISSUE OF THIS FORM IS NOT TO BE TAKEN AS AN ADMISSION OF LIABILITY CONTRACTUAL LIABILITY ‑ CLAIM FORM POLICY DETAILS INSURED DETAILS DETAILS OF THE DRIVER AT THE TIME OF ACCIDENT MOTOR INSURANCE CLAIM FORM If any detail or information is not readily available please do Water connection is referred to a system of connection consisting all water required material such as valve, pipes, fittings, water meter and meter box provided to supply water to any premises. Latest update: The Camp Lejeune Community You can file a claim using the Camp Lejeune Justice Act Claims Management Portal. 3. Edit your sydney water claim form online. There is evidence of an association between certain diseases and the contaminants found in the water supply at Camp Lejeune during the period of contamination. Frequently Asked Questions. You don’t need to hire a lawyer or file a lawsuit to get VA benefits. , Phoenix, AZ 85003. If applicable contact your insurance company; they are your direct insurer. Sign it in a few clicks. 980 Harrison Avenue. The Claim Form will allow you to pick one or more of 30 possible claim categories. To fill out the e-form for a water loss claim with eThekwini Municipality (eFormkwini), follow these steps: 1. Completing the form. That later Claim Form will explain the documents and other information that you will need to submit at that time. The deadline to submit is a band council acceptance resolution is extended to March 7, 2023. Sign and date the claim form. All other parts may be field scrapped - please mark on the claim form that the part was “Field Scrapped”. Fill out the empty areas; involved parties names, addresses and numbers etc. government’s Agency for Toxic Substances and Disease Registry estimates that as many as one million g) Write your name and the date the Water Heater Claim is filed in the space provided. 2 Part II Energy Efficient Home Improvement Credit Section A—Qualified Energy Efficiency Improvements 17 a . They'll set up equipment to assist with the drying. They may conduct daily monitoring to check the drying status with total drying typically taking 4 to 7 days. Submission of this form does not constitute notice to the Executive Director of the Boston Water and Sewer Commission for purposes of M. To be signed by the Insured (Registered Owner) of the vehicle, or where Insured (Registered Owner) is a Partnership or Corporate Body, by an authorized signatory of such Partnership or Corporate Body along with the office seal of the concerned To submit your claim for a leak allowance, please complete this form and return it to: billing. This form is typically used to initiate the process of filing an insurance claim for compensation or reimbursement for the water-related loss or damage. You must be able to substantiate your loss. uk. Filing a new claim. You must have a DWSD Service Request number when you file Mar 7, 2023 · Individual Damages payments started in August 2023 and payments will continue to be made as claims are processed. Edit your ethekwini water loss claim form online. 03. : 91 22 4097 6666 • Fax: 91 22 4097 6600 • Call us at: 1800 102 2355 • SMS: “MOTORCLAIM” TO 9222211100 • email: care@futuregenerali. Know Your Watering Days Fact Sheet English pdf. com, please submit your warranty claim through the form below, and we will get back to you as quickly as possible. Claim must be signed at the bottom of page 2. Code 15 processes approximately 45,000 claims each year, with claims paid and recovered totaling $60-$70 million. List all residences that you occupied since April 25, 2014. ,) on behalf of one or more individuals. Click on the “File a Claim” button at the top of the Claims Management Portal homepage. Tacoma, WA 98402. 947. , 8th Fl. Enter your official identification and contact details. - Submit a Payment Arrangement Request. Please return the completed form and required Proof of Value documentation (invoice and/or receipt) to: FedEx Cargo Claims Dept. 6. Complete items one (1) through twenty-one (21) in full. h) Proof of Sale or Installation must be attached to the back of the form and mailed to Orgill. Identify places other than residence where claimant was exposed to Flint water like workplace, school, or daycare. 4. No. Use this form to submit warranty claims for Rheem, Ruud, and Rheem-Ruud in-warranty water heaters, parts and water heater replacement labor. For instructions on creating an account and filing a claim, please visit our Help and Additional Resources page YES, Please Sign Me Up! Fill out this form to register your Waterpik™ water flosser, sonic electric toothbrush, Professional water flosser, or other oral health product. Attn: Water Heater Claims PO Box 140 Open it with cloud-based editor and begin editing. G Form 5695 (2023) Page . Insured and/or Administered by Connecticut General Life Insurance Company. **. This claim form is NOT to be used for provider submitted claims. Please refer to your owner's manual for 7/3/2024 Update: The Court has granted preliminary approval to the BASF Public Water System Settlement Agreement. If you need help filing a claim for VA benefits, you may want to work with a Veterans Service Officer (VSO). ca. 115. Before you complete the form, call DWSD at 313-267-8000 to report the issue and get a Service Request number for your claim. NO. If you require a paper version of the Individual Claim Form to be sent to you, please contact the Administrator at 1-833-252-4220 (Toll-free). Use this option if: You are filing for yourself as the Claimant. January 13, 2023. Great Lakes Water Authority (GLWA) due to the following happening or discovered on: _ _ / _ _ / 20 _ _ AM at Form CEM-6201D, Initial Potential Claim Record (PDF) Form CEM-6201E, Supplemental Potential Claim Record (PDF) Form CEM-6201F, Full and Final Potential Claim Record (PDF) Form CEM-6202, Dispute Resolution Board (DRB)—Establishment Report (PDF) Form CEM-6203, Dispute Review Board Update Report (PDF) Form CEM-6204, Dispute Resolution Board (DRB 4. Claims Form pdf. Washington St. If you are represented by an attorney, direct all inquiries to Use the following address to mail your completed claim form, or to file in person: City of Tacoma. For that reason, the airSlate SignNow online app is necessary for completing and signing ethekwini water loss claim form on the run. Coverage is underwritten/ provided by American Bankers Insurance Company of Florida (ABIC) and/or American Bankers Life Assurance Company of Florida (ABLAC). Begin a free trial to discover all of the features of pdfFiller, the best document editing solution. BWSC Standard Claim Form (pdf) You may also mail or deliver the original claim form to: Boston Water and Sewer Commission. This form includes information to aid a policyholder with reporting the loss. Incomplete claims will be denied. Within just minutes, get an e- paper with a court-admissible signature. The purpose of this form is to document and provide detailed information about the event, such as the cause of the water loss, extent of the damages, and any personal property affected. You are an Attorney filing on behalf of a Claimant or the Claimant’s authorized Agent. in • Website: www. 2873 (“MDL”) which are overseen by the United States District Court for the District of South Carolina. O. Please answer all the questions. Management@phila. SIGN EACH SHEET. CS-034 Kinro West Coast Service and Repair Form. Click on the link or button to access the e-form. CS-033 Kinro Windows Service and Repair Form. If you withdraw your claim, your claim will be closed and any new claims would need to be filed before the statute of limitations expires on 10 Aug 2024. You are an authorized Agent (e. You can also mail it to the Office of Risk First Notice of Loss (MUST DOWNLOAD) This form can be filled out online. SMITH ATTN: Warranty Administration 500 Tennessee Waltz Parkway Ashland City, TN 37015 PLEASE COMPLETE ALL SECTIONS OF THIS FORM IN ORDER TO RECEIVE PROPER AND PROMPT CREDIT (KEEP A COPY FOR YOUR RECORDS) AOS WATER HEATER CLAIM FORM - REV 4C Sept. - Payment Arrangement Request Form (PDF) Stop Water Service: If you are terminating water service in your name, please be aware that all water and sewer charges will Title: Motor Insurance Created Date: 8/6/2012 4:30:44 PM A water loss claim form is a document used by individuals or insurance policyholders to report and file a claim for damages resulting from water-related incidents. pactact@usdoj. Are the qualified energy efficiency improvements installed in or on your main home located in the Give us a call: 1-866-892-8683 from within Canada and the United States, or 613-634-4997 locally or collect from other countries. Claims can only be filed with the City Clerk. 012451MI/SC. Document. • All warranty claims will be audited. Be practical and reasonable. g. 2. Correctly completed claim forms will be paid within 10 working days of receipt. Visit the official website of eThekwini Municipality. d) Name: e)Address City: Pin Code Phone No Email ID Click here for a downloadable, fillable PDF claim form. ed to assisting those applying for corrective payments at. You can return your form to Risk. Visit Faq. pdfFiller has made it simple to fill out and eSign westwood water loss claim form. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. 9) Mail completed Original Water Heater Claim Form to: Orgill, Inc. 2012 WATER HEATER CLAIM FORM • Claims must be submitted within 30 days of Here's what you can expect: If you prefer and they're available, USAA can send a water cleanup professional for you if you have a covered loss. b) Sl. CS-032 Windows Service and Repair Information Form. in The Administrator may ask the personal representative of a minor child to fill out a province-specific Attestation Form (excluding those living in Prince Edward Island). This claim form is available in alternative formats upon request. This form helps verify the eligibility of the personal representative to receive the child’s payment. Water Damage or Loss Claim Form . Share your form with others. Claimant/Tenant (if different from property owner) Name (please print) Name (please print) Customer Service Center: 1-866-372-1144, Fax: 512-460-5536. If you can’t find the form or document you’re looking for below, sign in to your member site to find more. enquiry@thameswater. The application has capabilities that allow you to modify and rearrange PDF content, add fillable fields, and eSign the document. Sign in to see forms for your health plan. The U. To request a printed form be sent to you by mail, contact the City Clerk’s Office at (253) 591-5505 or cityclerk@cityoftacoma. This includes VA benefits related to Camp Lejeune. If your period of exposure was between August 1, 2016 and November 16, 2020, then DWSD Sewer Backup and Damage Claim If you experienced a sewer backup or other damage related to the Detroit Water and Sewerage Department (DWSD), you may file a claim within 45 days of the discovery of the backup. OR, MAIL THIS CLAIM FORM, AT YOUR OWN RISK, WITH THE ORIGINAL TICKET STAPLED ON THE FRONT, TO: California Lottery, 730 North 10th Street, Sacramento, CA 95811-0 336. Code Sec. On December 22, 2021, the Courts approved a Settlement between Canada and certain First Nations and their members who were subject to a drinking water advisory that lasted at least one year between November 20, 1995 and June 20, 2021. Contact the Philadelphia Water Department at (215) 685-3000 if there is no water meter at the property. com, and request a call back or information regarding receiving a Claim Form. , family member, etc. Fill out all the required personal information accurately, including your full name, address, and contact details. Dec 30, 2022 · From August 1, 1953, through December 31, 1987, people living or working at the U. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The completed claim form must be lodged within 90 days of the last date of relief care. Start completing the fillable fields and carefully type in required information. The claim form must be notarized. How you can complete the Get And Sign Sydney Water Sewer Choke Claims 2011-2019 Form on the internet: To begin the document, use the Fill camp; Sign Online button or tick the preview image of the form. You may also fax this form to: (617) 989-7736. Any changes or corrections made to this claim form must be signed by both the full-time carer and support carer. Suburban does not require you to register your appliance for your limited warranty to be effective. FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED. A claim must be filed in person or by registered or certified mail within 90 days of the occurrence at the NYC Comptroller's Office, located at 1 Centre Street, Room 1225, New York, NY 10007. Find commonly used forms and documents. FEMA Form 206-FY-21-110: Policyholders use this form to give prompt written notice of a flood loss to their NFIP insurer. Be certain to sign the authorization to release information in block twenty-seven (27). If you are eligible for compensation and you submitted a claim: On or before March 7, 2023, the Administrator will begin processing your payment after the appeals period has expired. The Administrator will provide the required Attestation Form along with Jan 7, 2021 · If your form is not completed and received within six months, you will be barred from bringing a claim against the City. Please note: filing a claim related to Camp Lejeune is free of charge. If you've purchased a product through an authorised Dometic dealer, please locate your closest service agent or get in contact with our customer care team on 1 800 544 4881 if PHILADELPHIA WATER DEPARTMENT Risk Management Division – Claims Unit 1515 Arch Street – 14th Floor Philadelphia, PA 19102-1595 (215) 683-1700 Risk. Call 202-353-4426 ( TTY: 711 ), or. Damage may require demolition. The Settlement includes compensation for individuals and Impacted First Nations subject AVAILABLE IN ALTERNATIVE FORMATS BY CALLING THE RISK MANAGEMENT DIVISION (602) 262-5054 - TTY CITY RELAY OPERATOR (602) 534-5500 - FAX (602) 534-2311. You may submit residential or commercial water heater warranty claims on this form. Emergency Water Conservation Ordinance Plan (effective 5/3/16) pdf. Other health insurance (OHI): If OHI exists, attach OHI’s Explanation of Benefits (EOB) to Jan 13, 2023 · First Nations Drinking Water Settlement. First Name MI Social Security Number. 4746. Box 1597 Johnson City, TN A water loss claim form is a document provided by an insurance company or a service provider to report and document any losses or damages caused by water-related incidents. Complete items twenty-two (22) through twenty-six (26) only if other medical coverage exists. Contact our Claims Department at (213) 367-4600, or email claims@ladwp. Attach any relevant documents or reports supporting your claim. The Plumber’s invoice must accompany the claim form, or if not available, must be submitted within a reasonable period after the claim form has been submitted. IMPORTANT Mail Form To: American ATTN: Credit Department P. Please make sure you put your account number in the email subject line. Click on the option to submit a new warranty claim. Marine Corps Base Camp Lejeune, North Carolina, were exposed to drinking water contaminated with industrial solvents, benzene, and other chemicals. If your period of exposure was between April 25, 2014 and July 31, 2016, then answer Yes. Provide these photos to your adjuster to document your claim. About the Settlement. The deadline to submit is March 7, 2023. Make sure you complete all parts of the form, including the meter readings. Usually when building a new home, office block or factory, or moving into existing premises where the account must be transferred to your name, you will Reimbursement Claim Form - Part A. Note: please use the features described in the help section to edit your claim, do not withdraw it and submit a new one. This is your own interest. ( Excel) ( Word) ( PDF) ( Example) Keep any damaged items in a safe location so the adjuster can complete an inspection of those items. (Gov. If you want to make a Specified Injuries claim (Part 4) then you must fill out this form! Part 1: Your Name and Key Details. ca or by mail to KPMG Inc. If necessary, attach separate sheets to provide full details, referencing the appropriate claim section number. The issuance of this form is not to be taken as an admission of liability. City. This is where you share key details like your name and birthday, your address and contact numbers, payment info, and a copy of your ID. Take photos to document the damage. Box 26628 Salt Lake City, UT 84126 Note: Please indicate currency used on all values. gov GENERAL CLAIM INFORMATION FORM Philadelphia Water Department 1. The advanced tools of the editor will direct you through the editable PDF template. Visit the official DWSD website or go to a DWSD service center to obtain the application form. Settlement Information This website is devoted to Settlements entered into in the AFFF multi-district Litigation no. 747 Market Street, Room 220. org . OR call us on 1300 361 263 (Broker and strata manager enquiries) or 1300 289 248 (Direct customer enquiries) For After Hours Emergencies call our Emergency Hotline on 1800 022 444; Download the CHU Claims Checklist: Download. Use separate forms for each address or account number. 1319-2) 13a: List of persons that have retained an attorney by have not yet filed a Claim or Intention to do so (filed 11/18/20 – ECF No. This can be a marriage certificate, birth certificate or adoption papers. Last Name. Boston, MA 02119. OF THIS FORM IN ORDER TO RECEIVE PROPER AND PROMPT CREDIT (KEEP A COPY FOR YOUR RECORDS) RELIANCE WATER HEATER CLAIM FORM - REV 6 - 2015-04-28 WATER HEATER CLAIM FORM • Claims must be submitted within 30 days of failure date. After you submit this Registration Form, the Claims Administrator will send you a Claim Form if you are eligible to make a claim from the Settlement. Please include proof of repair if a third party has fixed the leak for you (eg. co. It's not intended for Dental or Pharmacy claims. 251 W. Property Owner 2. at (800) 432-8373 for authorization and instructions to process any I declare that to the best of my knowledge and belief the information in this form is true and correct and I have not withheld any relevant information. If you need an updated payoff figure, send the completed form you received back with your request. Change the blanks with smart fillable areas. 7. Attach any necessary supporting documents, such as proof of purchase or warranty information. Use additional sheets, if required and attach the documents as indicated. Individual claim. • Claims must be submitted within 30 days of failure date. 915a) Claims can be filed online at First Nations Drinking Water First Nations Drinking Water OR, MAIL THIS CLAIM FORM, AT YOUR OWN RISK, WITH THE ORIGINAL TICKET STAPLED ON THE FRONT, TO: California Lottery, 730 North 10th Street, Sacramento, CA 95811-0336. To document your claim send copies of: bills, cancelled checks, receipts, invoices, etc. State Zip Code If you reside outside the United States enter address below The leak wasn’t fixed under Section 75 of the Water Industry Act; The leak allowance is claimed within three months of the repair date – even if you haven’t received a water bill yet ; Please see our leakage code of practice for full details. Fill out the required information, such as your contact details, product information, and warranty details. Great Lakes Water Authority Office of The General Counsel 735 Randolph Street, Detroit, MI 48226 Phone: 844-455-4592 Fax: 313-842-6510 CLAIM FORM P L E A S E P R I N T O R T Y P E Sir/Madam: Claim is hereby made against the . To make it easier for you, CHU offers multiple ways to submit your claim: Via the CHU claims form . Tel. Water. A water loss claim form is a document used by individuals or insurance policyholders to report and file a claim for damages resulting from water-related incidents. Prepare a list of lost and damaged items using our Personal Property Inventory form. Member forms. gov please forward an estimate for the damage, a copy of the declaration sheet from your insurance policy, and complete the enclosed Tort claim form. Indiabulls Finance Centre, Tower 3, 6th Floor, Senapati Bapat Marg, Elphinstone Road (W), Mumbai 400 013. 00 will be deducted from the claim. , C/O Disability Pension Class Action Claims Administrator, 600. Date of Birth (MMDDYYYY) Mailing Address. Claim form usage: This form is to be completed by the patient, sponsor, or guardian and is mandatory for all beneficiary claims. All reimbursement claims have to be intimated to us immediately (before discharge). 02. Code 15 is comprised of the Headquarters and Admiralty Units at the Washington Payment Arrangement Request: If you wish to request a Payment Arrangement for your water and sewer bill, use one of these request forms. firstnationsdrinkingwater. gov. CS-029 Lippert Returned Goods Authorization Form. This form replaces FEMA Form 086-0-11. www. Follow the steps in the “Accessing your existing account” section on the “Account Support” page to login to your existing account. Send an email to camplejeune. Water Conservation Variance or Hardship Request (Process, Application, and Forms) Schedule of Charges for Water Facilities pdf. For claims FAQs see Jan 18, 2023 · Veterans and family members can fill out the Camp Lejeune Family Member Program Application (VA Form 10-10068) to apply for their Camp Lejeune health benefits. REIMBURSEMENT CLAIM FORM TO BE FILLED BY THE INSURED (To be Filled in block letters) The issue of this Form is not to be taken as an admission of liablity Medi Assist DETAILS OF PRIMARY INSURED: a) Policy No. 01. TTY (602) 534-5500. For any questions, please call 1-833-252-4220. Claim documents should be submitted within 30 days from the date of discharge. You must call the Rheem Technical Service Dept. If you wish to have your benefits for this claim paid directly to your physician or supplier, sign block The Admiralty and Claims Division (Code 15) has worldwide responsibility for processing different types of claims under various statutes and regulations. No/ Certificate no. Type text, add images, blackout confidential details, add comments, highlights and more. Get water loss claim form signed right from your smartphone using these six tips: Claim Form reimbursement. If you do not have an account, see “Creating a new account” on the “Account support” page. Note: This is not an admission of liability or a guarantee of payment by the LADWP. The Claims period is open. Get ethekwini municipality claim form pdf signed right from your smartphone using these 6 steps: Motor - Claim Form. In a matter of seconds, receive an electronic document with a legally-binding eSignature. Call 1-800-LOTTERY(568-8379), or visit any Lottery District Office to request a Multiple Ownership Claim form for group players (less than 100) sharing prizes of $1,000,000, or more. After March 7, 2023, compensation will be How to fill out DWSD application for service: 01. Under the individual claim filing option, you can submit multiple claims within Warranty Claim Procedure - NET Upon completion and receipt of the Warranty Claim Form and proof of purchase, ACCO will provide Water Damage; Lightening etc. P. c) Company TPA ID (MA ID)NO. If the claim is not resolved within one (1) year and 90 days of the occurrence, you May 9, 2024 · The Claim Form is available as a fillable PDF that you can complete and send to the Administrator by email, mail or fax. • A “proof of purchase” must be provided when the serial number of the water heater indicates it is out of warranty. If you should need repairs during your warranty period, all you need to provide to establish your warranty period is your bill of sale or other receipt showing the purchase date of your RV or appliance. Water Rates Ordinance pdf. For any future claim or insurance related query please call on Toll Free Number 1800-2-666. The Claim submission deadline has passed on March 07, 2024. Where repairs are carried out by a Non – Metro approved plumber, an inspection will be done and an inspection fee of R100. Dec 5, 2019 · All water heaters, module boards, motors, valves, electric elements, and combustion chambers must be properly tagged and returned for factory inspection within 60 days. Cigna Health and Life Insurance Company **Please note: Cigna HealthCare* You only need to fill out this form if your health care professional isn't Therefore, the airSlate SignNow web application is a must-have for completing and signing water loss claim form ethekwini municipality on the go. Rev 6/7/21. Office of the City Clerk. If you are represented by an attorney, direct all inquiries to 12: Court of Claims Notice of Intent relating to Flint Water Cases (filed 11/18/20 – ECF No. Medical Claim Form. The Customer agrees that transaction(s) through RTGS/ NEFT facility may attract inward RTGS/ NEFT charges, which if levied by the Customer's bank, shall be borne by the Customer 8. Follow the instructions carefully and provide all necessary documentation to support your claim. please visit the ADA Store or call 800. Notice of Claim Instructions - NJ. The Claims Management Portal is now live and available for submitting new claims related to the Camp Lejeune Justice Act of 2022. Be specific about the incident; time, date, location. This form can be used with all medical plans. Visit the Rheem website and navigate to the warranty claim page. futuregenerali. Instructions for full-time carers. CLAIMS INFORMATION. The labor claim should be returned with these parts. CS-035 Lippert Customer Service Marine Repair Request. FIRST NATIONS DRINKING WATER SETTLEMENT- CLAIM FORM FOR INDIVIDUAL CLAIMANTS OR THEIR REPRESENTATIVES. . For any questions regarding pricing or purchasing copies of the ADA Dental Claim Form, including one that may be individually completed or printed. S. CS-031 Lippert Customer Service Repair Request. Simply click Done following double-examining everything. or for standard processing, mail the completed form to: Department of Veterans Affairs, Financial Services Center, PO Box 149200, Austin, TX 78714-9200. A water loss claim form is a document provided by an insurance company or a service provider to report and document any losses or damages caused by water-related incidents. dj ka if gk ij cd yp wf uf cz  Banner