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Use the links below to download and print an Initial Incident Report form (both Word.doc and Acrobat.pdf versions available). Complete the form in its entirety and mail or fax it to the address listed at the top of the form. These forms are used not only to notify us in the event of a situation that may lead (or has led) to a claim or suit but also to collect other policy benefits such as reimbursement for deposition expenses or licensing board investigation expenses. Please consult your policy booklet for more details on your coverage and your duties in the event of a Professional Incident, Claim or Suit.
Initial Incident Report [ Download WORD.doc ] [ Download Acrobat.pdf ]
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