Please make sure to fill out this form with as much information as possible. If you have multiple claims being sent to the same address, please make sure to list all journals that you are claiming. If you have any questions regarding your claim, you may fill out the comments section below. **Please note that Claims will be mailed out every Thursday.
Name of Requestor:

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* Name of Requestor:

Email Address:

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* Email Address:

Journal Name / Volume / Issue you are claiming:
(One claim per line)

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* Journal Name / Volume / Issue you are claiming:
(One claim per line)

Check Number:

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* Check Number:

Date of Check:

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* Date of Check:

Mailing Address Name

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* Mailing Address Name

Company Name

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* Company Name

Address

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* Address

City / Town

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* City / Town

State / Province

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* State / Province

Zip / Postal Code

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* Zip / Postal Code

Country

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* Country

Additional Comments:

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* Additional Comments:

Thank you,

The Harvard Law School Student Journals Office

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