<pclass="small-margin">Signature of Claimant 1</p>
<p>
<p>
<spanclass="fake-checkbox"></span> Claimant 1
<spanclass="fake-checkbox"></span> lawyer for Claimant 1
<strong>{% include "partials/name_with_alias.html" with name=responses.name_you use_other_name=responses.any_other_name_you other_names=responses.other_name_you %}</strong>
</p>
</p>
</td>
</td>
<tdclass="sig-col1"> </td>
<tdclass="sig-col1"> </td>
<tdclass="sig-col4 sig-line-text">
<tdclass="sig-col4 sig-line-text">
<p>Signature of</p>
<pclass="small-margin">Signature of Claimant 2</p>
<p>
<p>
<spanclass="fake-checkbox"></span> Claimant 2
<spanclass="fake-checkbox"></span> lawyer for Claimant 2
<strong>{% include "partials/name_with_alias.html" with name=responses.name_spouse use_other_name=responses.any_other_name_spouse other_names=responses.other_name_spouse %}</strong>