Documents Required for Appointment of Representative Claimant
Petition for Appointment of Representative Claimant
Proposed Representative Claimant Declaration for a Deceased Retired NFL Football Player
Proposed Representative Claimant Declaration for a Legally Incapacitated or Incompetent Retired NFL Football Player
Documents Required for Appointment of Derivative Claimant Representative
Petition for Appointment of Derivative Claimant Representative
Proposed Derivative Claimant Representative Declaration for a Minor Derivative Claimant
Proposed Derivative Claimant Representative Declaration for a Legally Incapacitated or Incompetent Derivative Claimant
Claim Form for Retired NFL Football Players and Representative Claimants
Pre-Effective Date Diagnosing Physician Certification Form
MAF Diagnosing Physician Certification Form
Authorization for Release of Claims Information (Appendix A)
Employment History and Social and Community Activity of Retired NFL Football Player (Form for Use by Retired Player)
Employment History and Social and Community Activity of Retired NFL Football Player (Form for Use by Knowledgeable Informant)
BAP HIPAA Form
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