Did anything on the list below happen to you? You might get more money if you write about it on this form. If you already wrote about it, or if you write about it now, then you must sign page 26 in front of a commissioner, Notary or lawyer. You were hurt so that you went or should have gone to the doctor, hospital or infirmary You had broken bones or an injury that lasted a long time You had an injury that changed how you look You passed out or went unconscious You were hurt so that you needed to rest for some days
Did anything on the list below happen to you? You might get more money if you write about it on this form. If you already wrote about it, or if you write about it now, then you must sign page 26 in front of a commissioner, Notary or lawyer. You were hurt so that you went or should have gone to the doctor, hospital or infirmary You had broken bones or an injury that lasted a long time You had an injury that changed how you look You passed out or went unconscious You were hurt so that you needed to rest for some days
claim_form_oxford_final_for_approval.docx