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Current residential address 3. Mailing address if different 4. Residential address at the time of the incident if different from current address 5. Claimant s daytime telephone number Home Business 6. Claimant s e-mail address INCIDENT INFORMATION 7. Date of the incident Time mm/dd/yyyy a*m* p*m* check one 8. If the incident occurred over a period of time date of first and last occurrences from Time a*m* p*m* check one to Time a*m. p*m* check one 9. Location of incident State and county City if ...

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How do I file a Washington state LI claim?

LI strives to make filing a claim as easy as possible, and you have options: Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctors office (if you complete the Report of Accident at your doctors office, the doctor files the form for you)

What is the use of claim form?

A claim form is a formal written request to the government, an insurance company, or another organization for money that you think you are entitled to ing to their rules.

How do I file a small claims case in WA?

Contact your local district court; contact information may be located in your local phone book or at .courts.wa.gov. First you will prepare a Notice of Small Claim form that is provided by the clerk. You are required to sign the Notice in the presence of the clerk, unless otherwise instructed by the court.

What is the claim form?

What is a claim form? A claim form is the document used to start proceedings and contains information relevant to the proceedings including the court reference number to be used on all subsequent court.

What are the 5 steps to file a claim?

Your insurance claim, step-by-step Connect with your broker. Your broker is your primary contact when it comes to your insurance policy they should understand your situation and how to proceed. Claim investigation begins. Your policy is reviewed. Damage evaluation is conducted. Payment is arranged.

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