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Tactical APTA  Form

Tactical APTA Form

Use a Tactical APTA 0 template to make your document workflow more streamlined.

_________________________________ Name of your motor vehicle insurance: __________________________ (write SAME if same) Contact/Adjusters Name: _______________________________ Phone: _________________ Claim Number: __________________________ Please list your personal health insurance company: __________________________________ We reserve the right to collect a $15 fee for no shows; this cannot be billed to your insurance company. I acknowledge the insurance information I have provided is true...
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