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Accidental Dismemberment & Catastrophic Loss Claim Form Send to: Group Life Claims, P.O. Box 14334, Lexington, KY 40512 Customer Service: (800) 5254542, Fax: (610) 8078266 Documents can be returned
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To fill out accidental dismemberment & catastrophic form, follow these steps:
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Fill out the personal information section including your name, address, and contact details.
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Provide details about the accident including the date, time, and location.
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Describe the circumstances leading to the accident and provide any relevant information regarding injuries or damages sustained.
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If available, attach any supporting documents such as medical reports or police reports.
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Review the form for completeness and accuracy before submitting it.

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Accidental dismemberment and catastrophic coverage is a type of insurance that provides financial protection in the event of a serious injury or loss.
Employers and insurance companies are typically required to file accidental dismemberment and catastrophic claims.
Accidental dismemberment and catastrophic claims can be filled out by providing detailed information about the incident and the individuals involved.
The purpose of accidental dismemberment and catastrophic coverage is to provide financial support to individuals who suffer serious injuries or losses.
Information such as the details of the incident, the extent of the injuries or losses, and any relevant insurance policies must be reported on accidental dismemberment and catastrophic claims.
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