Injured
(Scroll your cursor above the pictures to see the details)
You can select Only 1 injury
After selecting, please click next step to proceed
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Voice
You can select more than 1 injury
(After selecting, please click next to proceed)
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Eyes
You can select more than 1 injury
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Loss of Life
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Funeral Expenses
Ensure you have receipts for all these expenses.
After providing this amount, please click next step to proceed.
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Nose
You can select more than 1 injury
After selecting, please click next step to proceed
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Scars
You can select more than 1 injury
(After selecting, please click next to proceed)
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Ears
You can select more than 1 injury
(After selecting, please click next to proceed)
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Burns
You can select more than 1 injury
After selecting, please click next to proceed
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Brain & Skull
You can select more than 1 injury
(After selecting, please click next to proceed)
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Arm
You can select more than 1 injury
Amputation
After selecting, please click next step to proceed
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Legs
You can select more than 1 injury
Amputation
After selecting, please click next step to proceed
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Body
You can select more than 1 injury
After selecting, please click next step to proceed
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Burns
You can select more than 1 injury
After selecting, please click next step to proceed
You need to select an item to continue
Nose
You can select more than 1 injury
After selecting, please click next step to proceed
You need to select an item to continue
Voice
You can select more than 1 injury
After selecting, please click next step to proceed
You need to select an item to continue
Ears
You can select more than 1 injury
After selecting, please click next step to proceed
You need to select an item to continue
Scars
You can select more than 1 injury
After selecting, please click next step to proceed
You need to select an item to continue
Brain & Skull
You can select more than 1 injury
After selecting, please click next step to proceed
You need to select an item to continue
Head
(Scroll your cursor above the pictures to see details)
You can select more than 1 injury
After selecting, please click next step to proceed
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Total claim amount
Summary
| Description | Information | Quantity | Amount |
|---|---|---|---|
| Discount : | |||
| Total : | |||
