WYOMING COURT RULES

4 (19) The name and address of any other jurisdiction’s fund to which Claimant has applied or intends to apply for reimbursement, together with a copy of the application; and (20) A statement that Claimant agrees to the publication of appropriate infor- mation about the nature of the claim and the amount of reimbursement if reimbursement is made. (c) Claimant shall have the responsibility to complete the claim form and provide satisfactory evidence of a reimbursable loss. (d) The claim shall be signed by Claimant under penalty of perjury and shall be filed with the Wyoming State Bar, 4124 Laramie St., P.O. Box 109, Cheyenne, Wyoming 82003. (Added May 16, 2017, effective July 1, 2017.)