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COMPLETE AND RETURN THIS FORM TO:ACCIDENT PROOF OF LOSS/ CLAIM FOk111Bollinger :l.l;. .flurry;, .....!ISP. O. Box 390 Short Hills, NJ 07078SECTION ITO BE COMPLETED BY PARENT/CLAIMANTrequired52week

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How to fill out complete set of no-fault

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Start by gathering all necessary documents and forms required for the no-fault claim.

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Fill out the claim form completely and accurately, providing all relevant information.

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

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Submit the completed claim form and supporting documents to the appropriate insurance company or agency.

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Keep copies of all documents and correspondence related to your no-fault claim for future reference.

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Anyone who has been involved in a no-fault accident or incident and wishes to seek compensation for their injuries or damages.

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This may include drivers, passengers, pedestrians, or cyclists who have been injured in a motor vehicle accident.

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