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INDIVIDUAL ECONOMIC LOSS

GUIDE TO DOCUMENTS REQUIRED FOR YOUR CLAIM

DETERMINING YOUR CATEGORY


Category I/II: You are in one of these categories if you were working prior to April 21, 2009, and have access to tax information documents (Category I) and/or pay period earnings documents (Category II). Category III Career Changer: You are in this category if you changed jobs between your Base Year and 2010 AND your income increased or decreased by 20%. The Claims Administrator will make this determination for you. Category III Less Than 12 Months: You are in this category if you started work on or after April 21, 2009, and you had not had a comparable job since 2007.

DOCUMENTS NEEDED FOR EACH CATEGORY


CATEGORY I/II One or more of the following Tax Documents from 2010 and your Base Year(s): 1. Forms 1040 including all Schedules and attachments; 2. W-2s or 3. Forms 1099 If you filed a Schedule C or F with your tax return, you may submit a Schedule C or F Activity Sworn Written Statement (SWS-10) if you want the hours you worked at this activity considered in your Actual or Offsetting Earnings calculation. One or more of the following Pay Period Earnings Documents covering the same 90 consecutive day period in your Base Year(s) as in 2010: 1. 2. 3. 4. 5. Paystubs; Payroll records; Bank statements; Commission statements or Check cashing receipts

If you do not have at least 90 consecutive days of tax information or pay period earnings documents for your Compensation Period and the same consecutive 90 days for your Benchmark Period,you must complete a Missing Tax or Pay Period Earnings Documentation Sworn Written Statement (SWS-9). CATEGORY III CAREER CHANGER OR LESS THAN 12 MONTHS
Submit the Tax Documents and Pay Period Documents for 2010 as described in Category I/II. For Category III, you must include documents for 2011. If you were not working in 2011 and do not have the Tax Documents and Pay Period Documents for at least 90 consecutive days in the 2011 Benchmark Period, you must submit documents showing your status in 2011 such as: 1. Documents showing you were a full-time student from the educational institution; 2. Documents showing you were involuntarily unemployed including job search efforts or unemployment compensation records; 3. Documents showing you took leave under the Family Medical Leave Act; 4. Documents showing you were temporarily or permanently medically incapacitated from your doctor or employer or 5. Documents showing you were a full-time parent, guardian, volunteer or missionary.

DETERMINING YOUR CATEGORY


Category III New Entrant:You are in this category if you had received and accepted an offer of employment before April 20, 2010, for employment that was scheduled to begin after April 20, 2010, but before December 31, 2010, AND you had not had a comparable job since 2007. Category IV:You are in this category if you do not have access to tax information and pay period earnings documents for your Base Yearor 2010.

CATEGORY III NEW ENTRANT Submit the same documents as needed for Category III Career Changer or Less than 12 Months as well as: 1. A dated lease, sublease or utility bill showing your address on April 20, 2010, or the address of where you planned to live if the Spill had not occurred. 2. A Sworn Written Statement (SWS-12), letter or contract for employment completed by your employer stating when you received the offer of employment, when you accepted the offer of employment and your anticipated (and actual if you started work) start date of employment. CATEGORY IV Submit Claimant Sworn Written Statement (SWS-7) and Employer Sworn Written Statement (SWS-8) describing your employment history,whether the DWH Spill caused your losses, the amount of those losses and information about your employer including contact information. BASE YEAR OPTIONS The period used for historical comparison of your earnings. If you are Category I/II or IV, your Base Year(s) must include 2009 but can also include an average of the following: 2008 and 2009; or 2007-2009. If you are Category III, your Base Year(s) must include 2011, but may require 2009 if you are a Category III Career Changer who did not work in 2011. ALL CATEGORIES Submit Sworn Written Statement (SWS-12) connecting your losses to the Spill if the place where you worked is located in Zones B (and is not a Tourism business), C or D and is not an Eligible Employer. An employer is not an Eligible Employer if it did not receive an offer of payment in the Gulf Coast Claim Facility and has not established causation in the DWH Program.

Claimant Assistant Centers:


Location Bayou La Batre, AL Gulf Shores,AL Mobile, AL Apalachicola, FL Clearwater, FL Fort Walton Beach, FL Naples, FL Panama City Beach, FL Pensacola, FL Cutoff, LA Grand Isle, LA Gretna, LA Houma, LA Lafitte, LA New Orleans East, LA Bay St. Louis, MS Biloxi, MS Bridge City, TX Phone Number (251) 824-2340 (251) 967-2108 (251) 665-4500 (850) 653-4785 (727) 796-0718 (850) 243-0549 (239) 596-6451 (850) 233-0727 (850) 458-3988 (985) 632-1087 (985) 787-2848 (504) 227-0262 (985) 879-3892 (504) 233-1205 (504) 240-0418 (228) 463-8200 (228) 396-4637 (409) 697-3815 Address 13290 North Wintzell Avenue, Bayou La Batre, AL 36509 Palm South Plaza, 3501 Gulf Shores Parkway, Suites 4, 5 & 6, Gulf Shores, AL 36542 Skyland Shopping Center, 3976 B Government Road, Mobile, AL 36693 194 14th Street, Suite 106, Apalachicola, FL 32320 2551 Drew Street, Suite 303, Clearwater, FL 33765 348 Southwest Miracle Strip Parkway, Suite 34, Fort Walton Beach, FL 32548 14700 Tamiami Trail North (Route 41), Suite #27, Naples, FL 34110 7938 Front Beach Road, Panama City Beach, FL 32408 7555 Highway 98 West, Suites 3 & 4, Pensacola, FL 32506 Tarpon Heights Shopping Center, 16263 E. Main Street, Unit 2, Cutoff, LA 70345 3811 LA 1, Grand Isle, LA 70358 2701 Manhattan Boulevard, Suite 12, Harvey, LA 70058 Plaza Caillou Shopping Center, 814 Grand Caillou Road, Suites 2 & 3, Houma, LA 70363 2654 Jean Lafitte, Lafitte, LA 70067 9671 Chef Menteur Highway, New Orleans, LA 70127 1171 Highway 90, Bay St. Louis, MS 39520 15812 Lemoyne Boulevard, Biloxi, MS 39532 2017 Texas Avenue, Bridge City, TX 77611

Visit the Deepwater Horizon Settlement Web Site at http://www.deepwaterhorizoneconomicsettlement.com

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