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  • Schools Personal Accident Claim Form - Brennan Insurances - Brennaninsurances

Get Schools Personal Accident Claim Form - Brennan Insurances - Brennaninsurances

INSURANCE BROKERS 12/14 LOWER MOUNT STREET, DUBLIN 2. TEL: (01) 639 5580 FAX: (01) 639 5590 SCHOOLS PERSONAL ACCIDENT CLAIM FORM Certificate No .......................................................Period.

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How to fill out the SCHOOLS PERSONAL ACCIDENT CLAIM FORM - Brennan Insurances - Brennaninsurances online

Filing a personal accident claim can be a straightforward process when you understand how to accurately complete the necessary form. This guide will walk you through the SCHOOLS PERSONAL ACCIDENT CLAIM FORM provided by Brennan Insurances, helping you submit your claim with confidence.

Follow the steps to successfully complete the form.

  1. Locate the ‘Get Form’ button to access the Schools Personal Accident Claim Form and open it in your preferred viewing application.
  2. Begin by filling in the Certificate Number and the Period of Insurance. This is usually found on your policy documentation.
  3. Enter the full name of the insured person along with their age in years. It is important to ensure this information is accurate.
  4. Provide the complete address and telephone number of the insured person. This information helps facilitate communication.
  5. Include the claimants name, who can be a parent, guardian, or representative from the school, along with their address and telephone number.
  6. Fill in the name of the school and the class of the insured person. Additionally, provide the school's address.
  7. In the first section, specify the time, date, and place where the accident occurred.
  8. Describe how the accident happened and what the student was doing at the time. It is important to provide thorough details.
  9. Clearly state the injuries sustained by the student.
  10. Provide the names and addresses of any witnesses who were present during the accident.
  11. Indicate whether the injured person has been unable to attend school due to the injuries, and if so, list the relevant dates.
  12. If applicable, enter the total medical expenses incurred in section six, and include original invoices or receipts.
  13. Indicate whether the medical expenses can be recovered from another source, such as a health insurance provider, and supply any necessary details.
  14. If the insured person is under 18 years of age, a parent or guardian must complete the relevant sections.
  15. Complete the declaration section by signing and dating the form. Include your relationship to the insured person.
  16. In the discharge section, sign and date to acknowledge acceptance of the claim amount and discharge of future claims. Provide your relationship to the insured person.
  17. If necessary, have a witness sign the form and provide their address.
  18. Finally, save your changes, download, print, or share the form as required.

Begin completing your claim online today to ensure a prompt processing of your request.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232