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Accident
Information Form |
Aegis Service Corp. Insurance Services
30-50 Whitestone Expwy, Suite 401, Flushing NY 11354
718-353-3800 |
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(Print this form & keep it in your glove
compartment)
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Visit us online at
http://www.AegisService.com |
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Tab
through to enter acquired information before
re-printing and submitting to Insurance
Company for claim processing.
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It
may be useful to make a diagram on the back of
this form showing the position of all vehicles
involved in the accident.
Include: direction vehicles were traveling,
point of impact, location of traffic
lights/signs & intersection with street names. |