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personal_injury.kind_incident

personal_injury.which_incident

personal_injury.medical_liability_explanation_1

personal_injury.medical_liability_explanation_2

personal_injury.personal_injury_explanation_1

personal_injury.personal_injury_explanation_2


personal_injury.personal_info

personal_injury.salutation

personal_injury.circumstances

personal_injury.circumstances_personal

personal_injury.damages

personal_injury.causer

personal_injury.causer_liability

personal_injury.insurance

personal_injury.insurance_damage

personal_injury.insurance_cost

personal_injury.additional_information

personal_injury.statement

personal_injury.statement_explanation

personal_injury.signature_date

personal_injury.signature_injured

personal_injury.step_back