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Get the free INJURY AND THIRD PARTY LIABILITY FORM

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SOUTHERN CALIFORNIA PIPE TRADES DEFINED CONTRIBUTION FUND 501 Shatto Place, Suite 500, Los Angeles, CA 90020 | (800) 5957473 (213) 3856161 | Fax (213) 4877921 | www.scptac.org | info@scptac.org LO56050511
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01
Gather all necessary information related to the injury or incident.
02
Fill out all sections of the injury and third party form accurately and completely.
03
Include specific details about the injury or incident, including date, time, location, and nature of the injury.
04
Provide contact information for all parties involved in the incident.
05
Review the completed form for accuracy and make any necessary edits before submitting.

Who needs injury and third party?

01
Anyone who has been involved in an injury or incident where a third party may be at fault will need to fill out an injury and third party form.
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Injury refers to harm or damage to a person, while a third party is an individual or entity that is not directly involved in a situation or transaction but may be affected by it, particularly in legal or insurance contexts.
Typically, individuals or entities involved in an incident that results in injury, or those seeking to claim against a third party for damages, are required to file injury and third party claims.
To fill out an injury and third party claim, you must provide details such as the nature of the injury, information about the parties involved, documentation of damages, any relevant witness statements, and the specific compensation being sought.
The purpose of injury and third party claims is to seek compensation for damages, losses, and medical expenses incurred due to injuries caused by another party's actions or negligence.
The information that must be reported includes the date and time of the incident, details of the parties involved, descriptions of injuries and damages, witness information, and copies of medical records or invoices related to the injury.
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