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1160F - Automobile Accident Report - ClaimsPages.com
CRASH STATE OF NEW MEXICO INVESTIGATION UNIFORM CRASH REPORT ...
ATTENDING PHYSICIAN S REPORT Date: Policy Holder: Date of Accident: TO ASSIST US IN DETERMINING BENEFITS DUE UNDER THE AUTOBOMILE PERSONAL INJURY PROTECTION LAW, THE ATTENDING PHYSICIAN MUST COMPLETE THIS REPORT AND RETURN IT DIRECTLY Phy
This is to certify that I,