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AUTO OR NON-WORK RELATED ACCIDENT CLAIM PATIENT & MAYOR INFORMATION FORM All Patients or Patients' Legal Representative, please complete all Sections (1) Patient: (Full Legal Name or as on Insurance

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What is auto or non-work related?

Auto or non-work related refers to activities or incidents that occur outside of the workplace or work hours and are not directly related to a person's job.

Who is required to file auto or non-work related?

Any individual who has experienced an auto or non-work-related incident or activity and wants to report it or make a claim may be required to file auto or non-work-related documentation.

How to fill out auto or non-work related?

To fill out auto or non-work-related documentation, individuals need to provide relevant details about the incident or activity, such as the date, time, location, and a description of what occurred.

What is the purpose of auto or non-work related?

The purpose of auto or non-work-related documentation is to report and document incidents or activities that are not directly related to an individual's work but may have implications for their personal or legal situations.

What information must be reported on auto or non-work related?

Auto or non-work-related documentation typically requires the individual to report details such as the date, time, location, witnesses, a description of the incident or activity, and any supporting evidence or documentation.

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