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1. Recipient Details: Full name and address of the defendant/insurer
2. Accident Details: Date, time, location and circumstances of the incident
3. Injury Description: Detailed description of injuries sustained
4. Basis of Claim: Legal basis for liability including reference to relevant legislation
5. Medical Evidence: Summary of medical reports and treatment received
6. Financial Losses: Details of special damages claimed including medical expenses, loss of earnings, and other costs
1. Witness Information: Details of witnesses when available for the incident
2. Police Report Reference: Details of police report if the incident was reported to authorities
3. Insurance Details: Information about relevant insurance policies if known
1. Medical Reports: Copies of all relevant medical reports and records
2. Receipts Schedule: Itemized list of expenses with supporting documents
3. Photographs: Photos of injuries, accident scene, or damage
4. Witness Statements: Written statements from witnesses if available
5. Loss of Earnings Documentation: Proof of income and time off work including payslips and employer letters
Claim
Claimant
Date of Loss
Defendant
General Damages
Injury
Loss of Earnings
Medical Expenses
Medical Report
Particulars of Claim
Personal Injury
Pre-existing Condition
Quantum
Special Damages
Supporting Documents
Third Party
Treatment
Witness Statement
Loss of Future Earnings
Medical Negligence
Pain and Suffering
Permanent Disability
Rehabilitation Costs
Transport Expenses
Liability and Negligence
Injury Description
Medical Treatment
Quantum of Damages
Loss Assessment
Insurance Coverage
Medical Evidence
Financial Losses
Special Damages
General Damages
Future Losses
Rehabilitation Requirements
Settlement Proposal
Documentary Evidence
Witness Information
Limitation Period
Time for Response
Supporting Documentation
Pre-existing Conditions
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