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Full name of person lodging form
Date of Loss
Time of Accident
Where did the accident occur?
What best describes the cause of accident?
Select cause of Accident
Loss of Communication
Were there any injuries?
Was there any third party Property Damage?
Full name of Remote Pilot involved in accident
Was the drone damaged?
Drone Serial Number
List drone manufacturer and model
Were any payloads damaged?
List payload manufacturer, model and serial number damaged
Was any ground equipment damaged?
List ground equipment damaged
Upload photos and documentation
I confirm that all details provided are comprehensive and truthful, and I wish to file a claim on behalf of the Insured.
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