New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 3 - AUTOMOBILE INSURANCE
Subchapter 26 - UNSATISFIED CLAIM AND JUDGMENT FUND: NOTICE OF INTENT
Section 11:3-26.1 - Claim information

Universal Citation: NJ Admin Code 11:3-26.1

Current through Register Vol. 56, No. 6, March 18, 2024

(a) Notice of intention to make a claim under 39:6-65 shall contain the following information:

1. The claimant's name, address, date of birth and social security number;

2. The time, date, location, municipality and county in which the loss occurred;

3. The identity of the operators and vehicles involved in the accident, including the name and address of the owner and operator and the license plate number of the vehicle;

4. Such witnesses to said accident as are then known;

5. A short description of the accident, including the claimant's role or position therein;

6. A description of the injuries then known, and attached thereto a medical certificate if then available. In any event the medical certificate shall be filed as soon as available;

7. A description of the damage sustained to property, and attached thereto an estimate of the cost of repairs if then available; and

8. The policy number of any insurance applicable to the accident, including the name and address of all insurance companies involved.

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