Preliminary Notice of Accident.
Date
1955, 19uu
Journal Title
Journal ISSN
Volume Title
Publisher
UNPUBLISHED
Abstract
"Immediately after happening of accident this blank must be executed by claimant and physician and forwarded at once to the Company at New York, or to the duly authorized agent for the locality in which this policy is issued. Every question must be answered fully."
Description
Single 9 x 7 inch form. Printed. Not filled out.