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PatientName: Date: AUTOACCIDENTMECHANISMOFINJURYFORM DateofAccident/Collision TimeofAccident/Collision Morph Pleasedescribehowthecollisionoccurred: Whatweretheweatherconditionsatthetimeoftheaccident?

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What is whatstreetswereyouon?

whatstreetswereyouon is a form used to report the streets you have resided on during a specific period of time.

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Individuals who have changed addresses or moved during the reporting period are required to file whatstreetswereyouon.

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The purpose of whatstreetswereyouon is to track the movement of individuals and verify their residency history.

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On whatstreetswereyouon, you must report the names of streets you have lived on and the dates you resided there.

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