Instructions: You have not provided beginning and/or ending dates of exposure. Please provide the dates on which exposure began and ended for each employer, occupation, and/or work site claimed. A separate page for each employer and/or work site must be completed.
Detail Text: No beginning/ending dates of exposure have been provided. On Part 3 of the Claim Form, you submitted insufficient exposure information. You have either provided no beginning/ending dates of exposure or you have indicated exposure that was intermittent. Please provide the dates on which exposure began and ended for each employer, occupation, and/or work site claimed. Remember to submit a separate page for each employer and/or work site.
