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MAIL TO: Administrative Concepts, Inc. P.O. Box 4000 Collierville, PA 194269000 www.acitpa.comBOTH SIDES OF CLAIM FORM MUST BE COMPLETED AND RETURNED WITH ITEMIZED BILLS WITHIN 30 DAYS.EDI MAYOR ID#

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How to fill out both sides of claim

01

Gather all necessary information such as personal details, contact information, and policy details.

02

Identify the date and details of the incident that led to the claim.

03

Clearly describe the damages or losses incurred.

04

Provide any supporting documentation such as photos, receipts, or witness statements.

05

Fill out all required fields accurately and ensure that the information provided is complete and correct.

06

Review the completed form for any errors or missing information before submission.

Who needs both sides of claim?

01

Individuals who have experienced damages or losses that are covered by an insurance policy.

02

Insurance companies and adjusters who need to process and assess the claim.

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What is both sides of claim?

Both sides of claim refers to the documentation that includes the claimant's version of events and the respondent's version of events.

Who is required to file both sides of claim?

Both the claimant and the respondent are required to file both sides of claim.

How to fill out both sides of claim?

Both sides of claim should be completed by providing a detailed account of the events leading to the claim from both perspectives.

What is the purpose of both sides of claim?

The purpose of both sides of claim is to provide a comprehensive overview of the situation from different viewpoints to facilitate a fair resolution.

What information must be reported on both sides of claim?

Both sides of claim should include factual details, supporting evidence, and any relevant documentation.

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