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PUBLIC LIABILITY ACCIDENT REPORT FORM Broker/Insurer Name Policy No. Claim No. Insured Name Address and (day) telephone No. Business or occupation Description of accident Date and time Place where
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Public liability accident report is a document that details an accident or injury that occurred on public property and may involve a claim for compensation.
Anyone who was involved in or witnessed a public liability accident must file a report.
To fill out a public liability accident report, one must include details of the accident, injuries sustained, contact information of witnesses, and any other relevant information.
The purpose of a public liability accident report is to document the details of an incident for insurance and legal purposes.
Information such as date, time, location of the accident, description of the incident, injuries sustained, and contact information of witnesses must be reported.
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