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PSS FORM 613 APPLICATION FOR HURT ON DUTY PENSION BY FORMER MEMBERS OF THE POLICE SUPERANNUATION SCHEME s10B(2) Please print clearly in black ink. Use this form If you need help with this form If
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Point by point guide on how to fill out an application for "hurt on":

01
Start by obtaining the necessary application form. The form may be available online, at a local government office, or from a relevant agency or organization.
02
Carefully read through the instructions provided with the application. Ensure that you understand all the requirements and gather any supporting documents or information that may be needed.
03
Begin by providing your personal details, such as your full name, address, phone number, and email. Include any additional information that may be required, such as a social security number or date of birth.
04
Clearly state the nature of the injury or accident that occurred. Provide specific details such as the date, time, and location of the incident, as well as a description of the events leading up to it.
05
Include any relevant medical information related to the injury. This can consist of medical reports, diagnoses, treatment received, and any ongoing medical care required.
06
If applicable, outline the financial impact of the injury. This may include expenses related to medical bills, loss of income, or any other costs incurred as a direct result of the incident.
07
Depending on the specific requirements of the application, you may need to provide additional information. This can include witness statements, photographs or videos of the accident scene, or any other documentation that supports your claim.

Who needs an application for "hurt on"?

01
Individuals who have been involved in an accident or suffered an injury that occurred on someone else's property or due to someone else's negligence may need to fill out an application for "hurt on."
02
Victims of workplace accidents, car accidents, slip and falls, medical malpractice, or any other incident resulting in injury may require this type of application to seek compensation or legal recourse.
03
The application may be required by insurance companies, legal professionals, government agencies, or other relevant entities involved in the process of assessing and resolving personal injury claims.
It's important to note that the specific requirements and procedures for filling out an application for "hurt on" may vary depending on the jurisdiction and the nature of the incident. Consulting with a legal professional or expert in personal injury cases can provide guidance and ensure that the application is completed accurately and effectively.
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Application for hurt on is a form used to report injuries or harm caused by a certain individual or organization.
The individual who has been injured or harmed is required to file the application for hurt on.
To fill out the application for hurt on, the individual needs to provide details of the injury or harm, along with any supporting evidence.
The purpose of the application for hurt on is to seek compensation or justice for the injuries or harm caused.
The application for hurt on must include details of the injury, the circumstances surrounding it, any medical treatment received, and any financial losses incurred.
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