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STATE LIFECLAIMS FORMD (Form IVD)Insurance Corporation of PakistanCertificate of Employer Policy No: ___Name of the Policyholder ___ Instructions for completion of this form: This form is to be completed
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Gather necessary personal information such as your name, address, and contact details.
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Provide details of the accident, including date, time, and location.
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Describe the nature of your injuries and how they occurred.
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Include any witnesses' information if applicable.
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Fill out any required medical information related to treatment received.
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Attach relevant documentation, such as medical reports and police reports.
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Review the application for completeness and accuracy before submission.

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Personal accident and injuries refer to physical harm or damage suffered by an individual resulting from unforeseen incidents such as accidents, falls, or other injuries that could occur both in personal or work-related situations.
Individuals who have suffered a personal accident or injury, or their representatives, are usually required to file claims related to the incident with insurance companies or applicable authorities.
To fill out a personal accident and injuries claim, gather all necessary information including details about the incident, medical records, police reports (if applicable), and fill out the required forms provided by the insurance company or legal body.
The purpose of personal accident and injuries claims is to provide financial compensation for medical expenses, lost wages, and other damages incurred as a result of the accident or injury.
Information that must be reported usually includes the date and time of the incident, circumstances surrounding the injury, details of people involved, medical treatment received, and any witnesses.
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