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International Medical Group, Inc. P.O. Box 88500, Indianapolis, IN 462080500 317.655.4500 or 800.628.4664 Fax: 317.655.4505 insurance global.co www.imglobal.comGENERAL ACCIDENT QUESTIONNAIRE Name
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How to fill out claim form - international
How to fill out claim form - international
01
To fill out an international claim form, follow these steps:
02
Start by providing your personal information, such as your name, address, and contact details.
03
Specify the date and location of the incident or occasion for which you are filing the claim.
04
Clearly describe the nature of the claim, including any supporting documents or evidence.
05
Provide details about any individuals involved, including their names, contact information, and roles in the incident.
06
Include information about any witnesses, if applicable.
07
Indicate the monetary amount being claimed and provide supporting documentation, such as invoices, receipts, or estimates.
08
If filing for reimbursement, include details about the expenses incurred and attach supporting receipts.
09
Review the completed form to ensure accuracy and completeness.
10
Sign and date the claim form.
11
Submit the completed form and any supporting documents to the appropriate party or insurance company.
Who needs claim form - international?
01
International claim forms are typically needed by individuals or businesses who have experienced an incident or event that requires filing a claim with an international insurance company or organization.
02
This could include situations such as accidents, property damage, medical emergencies, travel disruptions, or other events that may be covered by an international insurance policy.
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