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Claim Number :
Department File Number :
Licensed Insurer Name :
Licensed Insurer FEIN :
Licensed Insurer NAIC Company Code :
Self Insurer First Name :
Self Insurer Last Name :
Self Insurer Entity Name :
Self Insurer Prof. License Number :
Insured Policy Number :
Insured First Name :
Insured Last Name :
Insured Entity Name :
Insured License Number :
Plaintiff First Name :
Plaintiff Last Name :
Plaintiff Entity Name :
Date Injury Occurred :
To
Date Injury Reported :
To
Date of Final Disposition :
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Court Decision :
No Court Proceedings.
Directed verdict for plaintiff.
Directed verdict for defendant.
Judgment notwithstanding the verdict for plaintiff.
Judgment notwithstanding the verdict for defendant.
Judgment for the plaintiff.
Judgment for the defendant.
Judgment for the plaintiff after appeal ...
Judgment for the defendant after the appeal ...
Summary judgment for the plaintiff.
Summary judgment for the defendant.
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County Suit Filed In :
Alachua
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Bay
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Brevard
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Putnam
Santa Rosa
Sarasota
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St. Johns
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Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
Out of state
Date Suit Filed :
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Indemnity Paid :
Range ($):
Deductible Paid by Defendant :
Range ($):
Date Submitted :
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Date Updated :
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