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1. General information
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Salutation

Firstname

Lastname

E-Mail

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How may we help you?

Please elaborate where you think a problem exists with your claim.

Do you already have a "Beratungshilfeschein" (BHS) or a completed "Beratungshilfeantrag" (BHA)?

Already filled out "Beratungshilfe" application (optional)

The application can be found here.

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