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Ragic!
Data Management That Actually Works
 
   
Motor Accident Claim Form
Sales
Default Tab Menu
Create Date
Name and Surname
Occupation
Address
Date of loss
Time of loss
Were premises occupied at time of loss
Purpose of occupation
Have you previously suffered aLoss / Damage?
Date reported
Is there any other insurancecovering this Loss/Damage?
Has any other party an interest in the insured property e.g. HP company etc
Estimated total value of all the property insured under the policy
When last valued
Date of signature
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