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PROPERTY DAMAGE/LOSS CLAIM FORM - Risk Management
This form must be completed and turned in NO LATER than 14 days after the date of the incident or first discovery. This form must be signed with completed
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OSD Claim Form
Claim will be returned if information is not completely filled out. The customer is required to review and follow the requirements as detailed in the Material
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CLAIM FOR DAMAGE, INJURY, OR DEATH
STATE THE NATURE AND EXTENT OF EACH INJURY OR CAUSE OF DEATH, WHICH FORMS THE BASIS OF THE CLAIM. IF OTHER THAN CLAIMANT, STATE THE NAME. OF THE INJURED PERSON
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