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EFFECTIVE DATE DATE (MM/DD/YYYY) EXPIRATION DATE CAT # DATE OF ACCIDENT AND TIME SUB CODE: AM AGENCY CUSTOMER ID: PREVIOUSLY REPORTED PM INSURED CONTACT NAME AND ADDRESS SOC SEC # OR FEIN: YES NO CONTACT INSURED NAME AND ADDRESS WHEN TO CONTACT: WHERE TO CONTACT RESIDENCE PHONE (A/C, No): CELL PHONE (A/C,NO): RESIDENCE PHONE (A/C, No): CELL PHONE (A/C,NO): BUSINESS PHONE (A/C, No, Ext): E-MAIL ADDRESS: BUSINESS PHONE (A/C, No, Ext): E-MAIL ADDRESS: LOSS AUTHORITY CONTACTED.

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Physical Damage is a general term for a group of insurance coverages that protect your vehicle. This general term includes Collision insurance, as well as your choice of full Comprehensive insurance or the more limited Fire and Theft with Combined Additional Coverage (CAC) insurance.

Forms 8582 and 8582-CR Use Form 8582, Passive Activity Loss Limitations to summarize income and losses from passive activities and to compute the deductible losses. Use Form 8582-CR, Passive Activity Credit Limitations to summarize the credits from passive activities and to compute the allowed passive activity credit. Topic no. 425, Passive activities – Losses and credits - IRS irs.gov https://.irs.gov › taxtopics irs.gov https://.irs.gov › taxtopics

e) Incident: An occurrence which could potentially impact the health, safety and well being of a client of APD. The incident may or may not occur under the care of a provider and can involve clients of APD and provider employees.

* Auto Physical Damage (APD) addresses the repairs to the state fleet vehicle. It is similar to comprehensive and collision coverage on your personal policy. This coverage is optional and must be requested by your agency. APD coverage never pays for damage to your personal vehicle.

Physical Damage Coverage pays the cost of repairs or replacement of your car, minus your deductible. Collision covers damage to your car from an accident with another car or a physical object. Comprehensive covers damage to your car from events other than a collision, such as theft, fire, or vandalism.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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