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Fill and Sign the How to Recognize and Prevent Fake Personal Injury Claims Form

Fill and Sign the How to Recognize and Prevent Fake Personal Injury Claims Form

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I represent TYPE CLIENTS NAME HERE TOUCH MERGE R~ concerning injuries TYPE HE/SHE HERE~ suffered in an automobile accident that occurred on TYPE DATE OF ACCIDENT HERE~. I am seeking verification of TYPE HE/SHE HERE~ employment, rate of pay, and any loss of wages that resulted from the injuries suffered, whether due to recovery time or subsequent medical treatment. Please complete the form at the bottom of this page and return it to my office at the above address.If you have any questions do not hesitate to call. Thank you for your cooperation in this matter. Sincerely yours,** ____________________________________________________________ WAGE STATEMENT I, _______________________, certify that TYPE CLIENTS NAME HERE~ was employed by TYPE PLACE OF EMPLOYMENT HERE~ on TYPE DATE OF ACCIDENT HERE~ and that the following information concerning TYPE HE/SHE HERE~ employment record is true and correct. COMPANY NAME AND ADDRESS:___________________________________ ____________________________________________________________POSITION OF EMPLOYMENT:_____________________________________RATE OF PAY:$________ PER ______/SALARY $________PER________NORMAL HOURS PER DAY _________PER PAY PERIOD________________DATES OF DAYS MISSED________________________________________BY:___________________________ TITLE:______________________ DATE:_______________________ MTF/bbcc: TYPE CLIENT'S NAME HERE~

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