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Get Canada OCF-6 2003

for reasonable and necessary expenses incurred as a result of the accident and not covered under another plan. Such expenses include the costs of medical and rehabilitation treatment, lost educational expenses, caregiver, attendant care and housekeeping services, transpor tation expenses, expenses of visitors, and the cost to repair or replace lost or damaged clothing, hearing aids, etc. Please attach all bills and receipts. Part 1 Applicant Information Last Name Male Birth Date Expenses .

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