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1122
Veterans Drive,
Jacksonville, IL 62650
217-243-8484 FAX
217-243-3301
109 Morse, Roodhouse, IL 62082
217-589-5890 FAX
217-589-4925
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Home,
Auto, Boat, Mobilehome, Motorcycle, Rental Dwelling,
and more. |
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As
Business Grows, and You Start To Have Insurance
Woes, Call The Pros
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24
Hour Claim Services |
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Workers
Compensation Claim Form:
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Please
download and print this form from your computer. Then
fill it out and postal mail it to us at:
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Colton,
Downey & Associates, Inc. Agency, Inc.
465 South Main,
P.O. Box 1247
Jacksonville, IL 62651
This form is presented in two versions for
download and printing from your printer.
First
is the Form
in .jpg graphics format. Wait for the form to load
and then press the print button on your browser.
Second
is the Form
in Adobe Acrobat format (4.pdf). Click on this link
to download the file and use Adobe Acrobat to open
and print it. If you do not have Acrobat, you can
download it for free here.
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