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Do not have an accepted TAC claim; Are under the age of 16 with an accepted TAC claim; Are an authorised representative or family member of a TAC client.
Yes. ❑ No If yes, please send proof of student status. ACCIDENT DETAILS. PLEASE DESCRIBE YOUR INJURY: Date of injury: /. /. Time of injury: ❑ a.m. ❑ p.m..
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