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School District: Rock castle County School District City and State: Mt Vernon KY 40456 School Name:P.O. Box 117558 Carrollton, Texas 750117558 Phone: (972) 5125600 Fax: (972) 5125818 Toll Free (866)

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How to fill out policyholders report part iioformr

01

To fill out the policyholders report part ii oformr, follow these steps:

02

Start by providing your personal information, including your name, address, phone number, and email address.

03

Indicate the type of policy you have and the policy number.

04

Describe the incident or loss that occurred, including the date, time, and location.

05

Provide a detailed account of what happened, including any injuries or damages.

06

If applicable, list the individuals involved in the incident and their contact information.

07

Attach any supporting documentation, such as photographs, police reports, or medical records.

08

Sign and date the form to certify that the information provided is accurate.

09

Submit the completed form to your insurance company for processing.

Who needs policyholders report part iioformr?

01

Policyholders who have experienced an incident or loss and need to report it to their insurance company.

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