Line of Duty Checklist
Dec 01, 2014 · Claim Form – Employed. (1) Provide copies of my pay stubs. (2) Provide a statement as to whether I have one or more income protection plans and the amount of funds received from each, on a daily basis. 8. ____If I am self employed during this period I must provide the following: DA Form 7574 Self-Employed. (1) Provide a statement of income. ................
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