AIG Insurance Forms
® AIG Ireland Limited AIG House Merrion Road Dublin 4 Tel: 2081400 Fax: 2837773 E-Mail: postmaster.ie@aig.com NOTICE OF ACCIDENT Public and Products Liability Claim Form Please complete, sign and return to AIG as soon as possible, whether or not a claim is being made. INSURED 1 Details of Insured Name Address Policy Number Date Last Premium Paid Trade or Business 2 Particulars of Accident Date and time of accident: Place Accident Occured Date / / Time ___:___ AM PM How Moreyour identity, process your application and to record and cross reference particulars of your claim in insurance industry databases for fraud prevention Less
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