Sunday, May 24, 2009

Insurance Claim Form

Give a brief description of the accident. If you suffered any injuries as a result of the accident, describe the cause and extent of the injuries:

I was driving home when I hit a Rocky Elsom . My two airbags exploded, the front and rear windows smashed, and my van was a complete write off. He suffered a slightly torn trousers and a bad case of embarrassment. I initally filled my trousers when I saw who it was, he is an Australian man of unusual size, but he said Jeez, sorry about that Mate, must have been daydreamin, eh? and that was that.
Can I claim for my trousers? The dry cleaning bill was horrendous.

If another car was involved in the accident, please detail any damage done ;
N/a

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