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20172018 K12 ACCIDENT ONLY CLAIM FORM MAIL TO: Caitlin Insurance Company 27422 Tortola Pkwy, Suite 110 Foothill Ranch, CA 92610 Phone (844)8828318 / Fax (949)2712330Account Management: 4695794139
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Start by gathering all necessary information such as student details, accident details, and insurance information.
02
Begin by filling out the student information section which includes the student's name, date of birth, gender, and contact information.
03
Next, provide the accident details such as the date, time, location, and a detailed description of the accident.
04
Fill out the insurance information section by providing the details of the insurance provider, policy number, and any additional coverage.
05
Review the form to ensure all information is accurate and complete.
06
Sign and date the form, indicating your agreement with the provided information.
07
Submit the filled-out form to the appropriate authority or organization as instructed.

Who needs 2017-2018 k-12 accident only?

01
Students in K-12 education who require accident insurance coverage for the year 2017-2018.
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It is a type of insurance claim specifically for accidents that occur within Kindergarten to 12th grade educational institutions.
Parents or guardians of students enrolled in K-12 schools are typically required to file k-12 accident only claims.
To fill out a k-12 accident only claim, one must provide details of the accident, the individuals involved, and any relevant insurance information.
The purpose of k-12 accident only claim is to document and process insurance coverage for accidents that occur in K-12 educational settings.
Information such as the date, time, and location of the accident, as well as a description of the injuries sustained and any medical treatment received, must be reported on a k-12 accident only claim.
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