Claim Form and Instructions - California Public Utilities ...
Dec 01, 2020 · The Line numbers shown on the Claim Form Summary are used to label calculations throughout the California LifeLine Wireline Claim Form Effective 12.01.2020 workbook and these claim form instructions. Service providers must fill in the claim period (month and year), the California LifeLine Service Provider name, and the CPCN. ................
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