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Get Dorset County Council Third Party Claim Form

His injury? Please provide details of your employer and evidence of loss of earnings if any: Section D Summary of Events DCC Reference Loss or damage to property at the time of the incident Copies of receipts or estimates for repair or replacement must be submitted for all items Damaged items may require inspection and must be retained until the outcome of the claim has been determined. Description of item Where & when purchased Price paid Estimated cost of repair/replacement Total Was t.

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