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LS 139.3CLAIM FORM FOR PRIVATE RENTAL OF PROPERTY PARTICULARS OF THE TENANT (STUDENT) Surname and initials Student numberMonths claimed: FromToAddress of premises/room/flat occupied by the student Postal
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How to fill out ls1392 claim form for

01
Obtain a copy of the LS1392 claim form from the relevant insurance company or website.
02
Fill in the personal details section including your name, address, contact information, and policy number.
03
Provide details of the incident for which you are making a claim including date, time, location, and description of what happened.
04
Attach any supporting documentation such as police reports, medical records, or witness statements.
05
Review the completed form to ensure all information is accurate and sign the form before submitting it to the insurance company.

Who needs ls1392 claim form for?

01
Individuals who have experienced an incident covered by their insurance policy and wish to make a claim for compensation or reimbursement.
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The ls1392 claim form is used to claim compensation for a work-related injury or illness.
Employees who have suffered a work-related injury or illness are required to file ls1392 claim form.
To fill out ls1392 claim form, you need to provide details about the injury or illness, your employment information, and any medical treatment received.
The purpose of ls1392 claim form is to request compensation for the expenses related to a work-related injury or illness.
The ls1392 claim form must include details about the injury or illness, the circumstances in which it occurred, and any medical treatment received.
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