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Personal Injury Claim Form Send Claim To: Chubb Insurance Australia Limited GPO Box 4065, Sydney NSW 2001 Australia O 1800 688 640 Claims O 1800 815 675 Customer Service F +61 2 9231 3697 E A&HClaims.AU@chubb.comImportant

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How to fill out personal accident claim form

01

Obtain the personal accident claim form from the insurance company or download it from their website.

02

Fill out all the personal information requested on the form such as name, address, contact information, etc.

03

Provide details about the accident including the date, time, location, and a description of what happened.

04

Include information about any injuries sustained during the accident and the medical treatment received.

05

Attach any relevant documentation such as medical records, police reports, and witness statements.

06

Review the completed form for accuracy and sign it before submitting it to the insurance company.

Who needs personal accident claim form?

01

Anyone who has been involved in an accident and wants to file a claim for personal injury or damages needs a personal accident claim form.

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What is personal accident claim form?

A personal accident claim form is a legal document that individuals submit to insurers to seek compensation for injuries or damages caused by accidents.

Who is required to file personal accident claim form?

Individuals who have suffered an accident resulting in injury or loss and have a valid insurance policy covering personal accidents are required to file the form.

How to fill out personal accident claim form?

To fill out the personal accident claim form, provide personal details, accident specifics, medical information, and any supporting documents such as police reports or medical bills.

What is the purpose of personal accident claim form?

The purpose of the personal accident claim form is to formally request financial compensation from an insurance company for losses incurred due to an accident.

What information must be reported on personal accident claim form?

Information that must be reported includes the claimant's details, accident date and location, description of injuries, medical treatment received, and details of any witnesses.

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