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Extended Continuation for Accident, Critical Illness/ Specified Disease and/or Hospital Indemnity Insurance Hartford Life and Accident Insurance Company (A stock insurance company) Home Office: Hartford,

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How to fill out extended continuation for accident

01

Start by gathering all the necessary information related to the accident, such as the date, time, and location.

02

Fill out the basic information section, which includes your personal details, contact information, and insurance policy information.

03

Provide a detailed description of the accident, including how it occurred and any damages or injuries involved.

04

Attach any supporting documents, such as photographs, police reports, or medical records, that are relevant to the accident.

05

Review the form to ensure all information is accurate and complete.

06

Sign and date the form before submitting it to the appropriate department or agency responsible for handling accident claims.

Who needs extended continuation for accident?

01

Anyone involved in an accident, whether as a driver, passenger, or pedestrian, may need to fill out an extended continuation for accident. This form is typically used to provide additional details about the accident and any related claims.

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What is extended continuation for accident?

Extended continuation for accident refers to a specific process that allows for continued coverage or benefits after an accident occurs, typically involving an extension of certain rights or benefits under an insurance policy or program.

Who is required to file extended continuation for accident?

Individuals who have been involved in an accident and are seeking to maintain or extend their benefits or coverage are required to file for extended continuation for accident.

How to fill out extended continuation for accident?

To fill out the extended continuation for accident, individuals must complete the required forms provided by their insurance company or relevant authority, ensuring all information is accurate and submitted by the deadline.

What is the purpose of extended continuation for accident?

The purpose of extended continuation for accident is to provide individuals with the necessary coverage or benefits after an accident, ensuring they have continued support while recovering or navigating post-accident situations.

What information must be reported on extended continuation for accident?

The information that must be reported includes personal details of the individual, specifics about the accident, any injuries sustained, and relevant insurance policy information.

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