PERSONAL INJURY COMPENSATION application SECTION ONE - jud ct 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with SECTION 1 – VICTIM INFORMATION. Fill in the victim's name, birth date, age, and contact details. Ensure accuracy as this information is crucial for processing.
3. Proceed to SECTION 2 – CLAIMANT INFORMATION if the claimant is different from the victim. Provide all necessary details including relationship to the victim.
4. In SECTION 10 – INSURANCE & OTHER FINANCIAL RESOURCES, answer each question by checking 'Yes' or 'No'. If you answer 'Yes', provide additional information about your insurance coverage.
5. Complete SECTION 11 – STATEMENT OF FACTS & AUTHORIZATION by certifying that all provided information is true. Sign and date the application before submission.

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