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• Propulsid II Settlement Program Term Sheet

• The Court’s Consent Order Approving Propulsid II Settlement Program

• Propulsid II Enrollment Form

• Propulsid II Program Death Claim Form

• Attachment A – for Wrongful Death and Personal Injury Claims

• Attachment B – Certificate of Service for Wrongful Death Claims

• Propulsid II Program Personal Injury Claim Form

• Attachment B – Certificate of Service for Personal Injury Claims

• Propulsid II Medical Records Reimbursement Form - Short Form

• Claim Form Extension

• Medical Records Reimbursement form

• Form letter for claims on behalf of decedents

• Form letter for claims on behalf of those claiming injury

• Summary of MDL-1355 Term Sheet

• Opt-out form

• Agreement to Toll Statute of Limitations

• Agreement to Toll Statute of Limitations

• Patient Profile Form

• Patient Profile Form

• Authorization for Release of Hospital, Medical and Pharmacy Records

• Authorization for Release of Hospital, Medical and Pharmacy Records

• Authorization for Release of Mental Health Records

• Authorization for Release of Mental Health Records

• Authorization for Release of Employment Records

• Authorization for Release of Employment Records

• Defense Counsel Electronic Service Registration Form

• Defense Counsel Electronic Service Registration Form

• Certificate of Service

• Certificate of Service

• Settlement Program Enrollment form

• Settlement Program Death Claim Form

• Settlement Program Personal Injury Claim Form