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Get Ps Form 1700

CUSTOMER OR PROPERTY DAMAGE Not Motor Vehicle Approx. Height Condition of Customer or Property When Investigator Arrived at Scene Statement Made by Witness Damage to Property Other Than Motor Vehicles PS Form 1700 December 1991 Page 2 of 4 Arrived at Scene Customer s Name and Address or Site of Property Damage Include Apt/Ste No. and Zip 4 Birth Date Male Female Was Employee Involved If Yes complete Item 17 If Yes attach copy of lease Is Premises.

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