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notice of intention to make claim

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Notice of Intention to Make Claim This form must be subscribed and sworn to. Fax or e-mail notification is not acceptable. Pursuant to Article 52 and/or pertinent sections of Article 18 of the Insurance Law of Indemnification Corporation for the purpose of giving my Notice of Intention to Make Claim against said Motor Vehicle Accident Corp. for injuries sustained by me. To MOTOR VEHICLE ACCIDENT INDEMNIFICATION CORPORATION 100 WILLIAM ST 14th Floor NEW YORK N*Y. 10038 phone 646-205-7800 State...
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