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1. Medical History: Previous medical conditions and treatments (required for personal injury claims)

2. Witness Information: Details of witnesses to the accident, if any, including their statements

3. Third Party Details: Information about other parties involved in the accident (for third-party claims)

4. Employment Details: Required for claims involving loss of income or workplace accidents

5. Legal Representative Details: Information about the lawyer or legal representative if claim is being filed through one

6. Multiple Claimant Details: Required when there are multiple victims/claimants in the same accident

1. Schedule A - Document Checklist: List of required documents to be submitted with the claim form

2. Schedule B - Medical Reports: Detailed medical reports, bills, and treatment records

3. Schedule C - Accident Scene Details: Photographs, sketches, and detailed description of the accident scene

4. Schedule D - Expense Details: Itemized list of expenses incurred with supporting bills and receipts

5. Appendix 1 - Witness Statements: Detailed statements from witnesses in prescribed format

6. Appendix 2 - Police Documentation: Copies of FIR, police reports, and other official documentation

7. Appendix 3 - Vehicle Documentation: Copies of vehicle registration, insurance, and damage assessment reports