:@0.756014:0.121237:0.760665:0.121237:0.760665:0.108046:0.756014:0.108046:0.004651
INCIDENT REPORT FORM :@0.378435:0.141308:0.626895:0.141308:0.626895:0.124632:0.378435:0.124632:0.006249:0.015542:0.012476:0.006297:0.014858:0.011509:0.015542:0.011674:0.005236:0.013278:0.011509:0.012547:0.015943:0.013042:0.011674:0.005259:0.010683:0.015943:0.013278:0.020593:0.005330
 :@0.120984:0.156773:0.124765:0.156773:0.124765:0.144943:0.120984:0.144943:0.003781
If  you  wish  to  claim  for  an  incident  which  has  caused  loss  or  damage  to  your  property,  and/or :@0.120984:0.172772:0.882798:0.172772:0.882798:0.159659:0.120984:0.159659:0.004673:0.005656:0.004191:0.003394:0.008271:0.009866:0.009680:0.004191:0.003449:0.013259:0.004265:0.007251:0.009495:0.004191:0.003449:0.006045:0.009866:0.004191:0.003449:0.007844:0.004265:0.008883:0.004006:0.014891:0.004191:0.003449:0.005434:0.009866:0.006250:0.004191:0.003449:0.008660:0.009680:0.004191:0.003449:0.004265:0.009643:0.007844:0.004265:0.009662:0.009235:0.009736:0.006212:0.004191:0.003264:0.013259:0.009736:0.004265:0.007844:0.009643:0.004191:0.003449:0.009680:0.008883:0.007251:0.004191:0.003245:0.007844:0.008883:0.009680:0.007047:0.009235:0.009736:0.004191:0.003431:0.004265:0.009829:0.007047:0.007251:0.004191:0.003245:0.009866:0.006472:0.004191:0.003431:0.009680:0.008660:0.014891:0.008883:0.008660:0.009068:0.004191:0.003449:0.006045:0.009866:0.004191:0.003449:0.008271:0.009866:0.009476:0.006472:0.004191:0.003431:0.009680:0.006472:0.009829:0.009680:0.009235:0.006287:0.006212:0.008475:0.004432:0.004191:0.003449:0.008883:0.009662:0.009680:0.007047:0.009866:0.006472:0.004191
personal injury, you should complete and return this form.   :@0.120984:0.188735:0.573347:0.188735:0.573347:0.175622:0.120984:0.175622:0.009680:0.009235:0.006472:0.007251:0.009884:0.009680:0.008883:0.004265:0.004191:0.004265:0.009643:0.004432:0.009680:0.006472:0.008234:0.004636:0.004191:0.008308:0.009866:0.009680:0.004191:0.007251:0.009513:0.009866:0.009680:0.004265:0.009643:0.004191:0.007881:0.009680:0.014891:0.009680:0.004265:0.009235:0.006045:0.009235:0.004247:0.008883:0.009662:0.009680:0.004191:0.006287:0.009235:0.006268:0.009680:0.006472:0.009662:0.004191:0.006268:0.009680:0.004265:0.007251:0.004191:0.005452:0.009866:0.006472:0.014873:0.004432:0.004191:0.004306:0.004191
 :@0.120984:0.204556:0.125175:0.204556:0.125175:0.191443:0.120984:0.191443:0.004191
•:@0.151220:0.220787:0.159750:0.220787:0.159750:0.204776:0.151220:0.204776:0.008531
 :@0.159686:0.220708:0.164841:0.220708:0.164841:0.206087:0.159686:0.206087:0.005155
Please use capital letters and complete all relevant sections.   :@0.181449:0.221232:0.645107:0.221232:0.645107:0.208120:0.181449:0.208120:0.009662:0.004265:0.009235:0.008883:0.007047:0.009235:0.004247:0.009680:0.007251:0.009068:0.004191:0.007881:0.008883:0.009662:0.004265:0.006212:0.008883:0.004265:0.004191:0.004024:0.009235:0.006268:0.006045:0.009235:0.006472:0.007251:0.004228:0.008660:0.009680:0.009680:0.004191:0.007881:0.009680:0.014891:0.009680:0.004265:0.009235:0.006212:0.009105:0.004191:0.008883:0.004265:0.004265:0.004191:0.006472:0.009235:0.004061:0.009235:0.008493:0.008883:0.009458:0.006212:0.004247:0.007251:0.009068:0.007844:0.006212:0.004265:0.009884:0.009680:0.007251:0.004673:0.004006:0.004307:0.004191
•:@0.151220:0.237463:0.159750:0.237463:0.159750:0.221452:0.151220:0.221452:0.008531
 :@0.159686:0.237384:0.164841:0.237384:0.164841:0.222763:0.159686:0.222763:0.005155
Failure  to  complete  any  mandatory  field  (marked  with  an  asterisk  *)  may  delay  the :@0.181449:0.237909:0.883046:0.237909:0.883046:0.224796:0.181449:0.224796:0.008512:0.008827:0.004265:0.004210:0.009680:0.006472:0.009235:0.004191:0.006083:0.006045:0.009866:0.004191:0.006064:0.007702:0.009680:0.014891:0.009680:0.004265:0.009235:0.006045:0.009345:0.004191:0.006089:0.008883:0.009458:0.008456:0.004191:0.005860:0.014891:0.008883:0.009662:0.009680:0.008883:0.006027:0.009866:0.006472:0.008234:0.004191:0.006064:0.005755:0.004265:0.009235:0.004265:0.009643:0.004191:0.005860:0.005619:0.014928:0.008883:0.006231:0.008438:0.009291:0.009476:0.004191:0.006064:0.013259:0.004265:0.006212:0.009513:0.004191:0.006064:0.008883:0.009662:0.004191:0.006064:0.008883:0.007047:0.006212:0.009291:0.006472:0.004265:0.007251:0.008215:0.004191:0.006064:0.009068:0.005619:0.004191:0.005897:0.014891:0.008660:0.008456:0.004191:0.006064:0.009680:0.009235:0.004265:0.008679:0.008456:0.004191:0.005860:0.006212:0.009736:0.009050:0.004191
processing of your claim. :@0.181449:0.253872:0.372346:0.253872:0.372346:0.240759:0.181449:0.240759:0.009680:0.006472:0.009829:0.007844:0.009235:0.007288:0.007251:0.004265:0.009643:0.008660:0.004024:0.009866:0.005656:0.004024:0.008456:0.009866:0.009680:0.006250:0.004191:0.007881:0.004265:0.008883:0.003987:0.015073:0.004435:0.004191
 :@0.120984:0.269836:0.125175:0.269836:0.125175:0.256723:0.120984:0.256723:0.004191
Completion of this form should not be construed as an admission of liability on the part of the :@0.120984:0.285799:0.882853:0.285799:0.882853:0.272686:0.120984:0.272686:0.009866:0.009884:0.015077:0.009959:0.004562:0.009328:0.006435:0.004618:0.009884:0.009884:0.006435:0.009884:0.005860:0.006212:0.006435:0.009884:0.004618:0.007251:0.006435:0.005860:0.009866:0.006639:0.014910:0.006435:0.007251:0.009884:0.009884:0.009884:0.004618:0.009884:0.006435:0.009884:0.009884:0.006435:0.006454:0.009884:0.009272:0.006435:0.007844:0.009884:0.009884:0.007436:0.006435:0.006658:0.009884:0.009272:0.009884:0.006435:0.008864:0.007436:0.006435:0.009068:0.009884:0.006435:0.009068:0.009884:0.015077:0.004469:0.007436:0.007436:0.004618:0.009884:0.009884:0.006435:0.009884:0.005860:0.006212:0.004618:0.004618:0.009068:0.009884:0.004432:0.004618:0.004432:0.006435:0.008679:0.006435:0.009884:0.009884:0.006435:0.006435:0.009884:0.009272:0.006435:0.009884:0.009068:0.006639:0.006435:0.006454:0.009884:0.005860:0.006416:0.006435:0.009884:0.009068:0.004191
council, or that you will automatically receive compensation.  All information is requested in order :@0.120984:0.301763:0.883285:0.301763:0.883285:0.288650:0.120984:0.288650:0.007844:0.009884:0.009884:0.009884:0.007844:0.004432:0.004618:0.004784:0.004469:0.009884:0.006454:0.004414:0.006435:0.009884:0.009068:0.006435:0.004432:0.008846:0.009884:0.009884:0.004191:0.013927:0.004432:0.004618:0.004432:0.004414:0.009068:0.009884:0.006435:0.009884:0.015077:0.009161:0.006435:0.004562:0.007881:0.008864:0.004618:0.004432:0.008846:0.004414:0.006639:0.009068:0.007844:0.009272:0.004432:0.008846:0.009272:0.004191:0.007881:0.009884:0.015077:0.009959:0.009235:0.009884:0.007436:0.009068:0.006435:0.004636:0.009884:0.009884:0.005026:0.004414:0.004191:0.011312:0.004432:0.004618:0.004414:0.004618:0.009884:0.005860:0.009866:0.006454:0.015077:0.009161:0.006435:0.004562:0.009921:0.009884:0.004191:0.004655:0.007251:0.004414:0.006639:0.009272:0.009884:0.010445:0.009272:0.007436:0.006435:0.009328:0.009829:0.004414:0.004618:0.009884:0.004414:0.009884:0.006639:0.009884:0.009272:0.006250:0.004191
to comply with the protocols laid down in the Civil Justice Reforms 1999 (Woolf Reforms). :@0.120984:0.317619:0.813873:0.317619:0.813873:0.304506:0.120984:0.304506:0.006435:0.009884:0.004191:0.007881:0.009884:0.015077:0.009959:0.004395:0.008846:0.004024:0.013890:0.004432:0.006435:0.009884:0.004191:0.006472:0.009884:0.009272:0.004191:0.009959:0.006583:0.009903:0.006435:0.009884:0.007659:0.009884:0.004618:0.007436:0.004191:0.004655:0.008864:0.004618:0.009884:0.004191:0.009959:0.009829:0.013890:0.009884:0.004191:0.004655:0.009680:0.004191:0.006472:0.009884:0.009272:0.004191:0.009717:0.004618:0.008660:0.004618:0.004432:0.004191:0.006138:0.009829:0.007436:0.006435:0.004451:0.007844:0.009272:0.004191:0.010496:0.009272:0.005860:0.009866:0.006639:0.014910:0.007436:0.004024:0.009458:0.009272:0.009458:0.009272:0.004191:0.005860:0.016727:0.009884:0.009884:0.004618:0.005860:0.004191:0.010496:0.009272:0.005860:0.009866:0.006454:0.015077:0.007473:0.005638:0.005458:0.004191
 :@0.120984:0.333583:0.125175:0.333583:0.125175:0.320470:0.120984:0.320470:0.004191
Please return this completed form to:-  :@0.120984:0.349546:0.417297:0.349546:0.417297:0.336433:0.120984:0.336433:0.009662:0.004265:0.009235:0.008883:0.007047:0.009235:0.004247:0.006472:0.009050:0.006212:0.009736:0.006472:0.009625:0.004191:0.006268:0.009680:0.004265:0.007251:0.004191:0.007678:0.009680:0.014891:0.009680:0.004265:0.009235:0.006045:0.009235:0.009736:0.004191:0.005656:0.009866:0.006250:0.014891:0.004024:0.006212:0.009717:0.005204:0.005644:0.004031:0.004191
 :@0.120984:0.365510:0.125175:0.365510:0.125175:0.352397:0.120984:0.352397:0.004191
Insurance Section :@0.120984:0.381473:0.258004:0.381473:0.258004:0.368360:0.120984:0.368360:0.004673:0.009643:0.007251:0.009736:0.006398:0.008883:0.009662:0.007844:0.009235:0.004265:0.008512:0.009235:0.007844:0.006212:0.004080:0.009866:0.009489:0.004191
 :@0.302392:0.381473:0.306583:0.381473:0.306583:0.368360:0.302392:0.368360:0.004191
 :@0.362914:0.381473:0.367105:0.381473:0.367105:0.368360:0.362914:0.368360:0.004191
 :@0.423386:0.381473:0.427577:0.381473:0.427577:0.368360:0.423386:0.368360:0.004191
or  :@0.483857:0.381473:0.508407:0.381473:0.508407:0.368360:0.483857:0.368360:0.009866:0.006472:0.004021:0.004191
 :@0.544329:0.381473:0.548520:0.381473:0.548520:0.368360:0.544329:0.368360:0.004191
 :@0.604834:0.381473:0.609025:0.381473:0.609025:0.368360:0.604834:0.368360:0.004191
insurance@enfield.gov.uk:@0.665306:0.381473:0.861008:0.381473:0.861008:0.368360:0.665306:0.368360:0.004265:0.009643:0.007251:0.009736:0.006398:0.008883:0.009662:0.007844:0.009235:0.016579:0.009235:0.009736:0.005656:0.004210:0.009235:0.004265:0.009680:0.004673:0.008623:0.009680:0.008456:0.004673:0.009643:0.008438
 :@0.860882:0.381473:0.865073:0.381473:0.865073:0.368360:0.860882:0.368360:0.004191
PO Box 54  :@0.120984:0.397437:0.205998:0.397437:0.205998:0.384324:0.120984:0.384324:0.009662:0.012277:0.004228:0.009884:0.009866:0.007863:0.004191:0.009309:0.009458:0.004086:0.004191
Civic Centre :@0.120984:0.413400:0.214464:0.413400:0.214464:0.400287:0.120984:0.400287:0.009884:0.004265:0.008382:0.004265:0.007844:0.004247:0.009680:0.009235:0.009736:0.006212:0.006472:0.009066:0.004191
Silver Street :@0.120984:0.429364:0.216077:0.429364:0.216077:0.416251:0.120984:0.416251:0.008512:0.004191:0.004265:0.008382:0.009309:0.006472:0.004191:0.008512:0.006212:0.006268:0.009235:0.009291:0.006061:0.004191
Enfield   :@0.120984:0.445327:0.185237:0.445327:0.185237:0.432214:0.120984:0.432214:0.009050:0.009736:0.005656:0.004173:0.009235:0.004265:0.009680:0.004191:0.004075:0.004191
EN1 3XF :@0.120984:0.461291:0.187051:0.461291:0.187051:0.448178:0.120984:0.448178:0.009050:0.011906:0.009458:0.004191:0.009309:0.009625:0.008338:0.004191
 :@0.120984:0.476791:0.124765:0.476791:0.124765:0.464961:0.120984:0.464961:0.003781
 :@0.120984:0.495178:0.124765:0.495178:0.124765:0.483348:0.120984:0.483348:0.003781
DETAILS OF INCIDENT :@0.120984:0.511034:0.290860:0.511034:0.290860:0.497921:0.120984:0.497921:0.011683:0.009050:0.009105:0.011238:0.005063:0.007659:0.008846:0.004191:0.012536:0.008512:0.003987:0.004840:0.012277:0.009680:0.005026:0.011683:0.008883:0.012277:0.009150:0.004191
 :@0.168548:0.526558:0.172329:0.526558:0.172329:0.514728:0.168548:0.514728:0.003781
Date of incident* _______/________/________ :@0.120984:0.542415:0.489056:0.542415:0.489056:0.529302:0.120984:0.529302:0.011683:0.009087:0.006435:0.009328:0.004191:0.009884:0.005860:0.004191:0.004636:0.009884:0.007659:0.004618:0.009884:0.009272:0.009884:0.006455:0.009272:0.004233:0.009068:0.009235:0.009291:0.009068:0.009235:0.009291:0.009068:0.008048:0.009235:0.009105:0.009235:0.009291:0.009068:0.009235:0.009291:0.009068:0.008048:0.009068:0.009235:0.009291:0.009068:0.009235:0.009291:0.009068:0.009283:0.004191
Time: __________________ :@0.544329:0.542415:0.761616:0.542415:0.761616:0.529302:0.544329:0.529302:0.009254:0.004432:0.015077:0.009328:0.005026:0.004191:0.009291:0.009235:0.009105:0.009235:0.009291:0.009068:0.009235:0.009291:0.009068:0.009235:0.009291:0.009068:0.009235:0.009291:0.009068:0.009235:0.009105:0.009438:0.004191
am / pm :@0.786249:0.542415:0.855800:0.542415:0.855800:0.529302:0.786249:0.529302:0.009068:0.015077:0.004247:0.008048:0.004191:0.009717:0.015011:0.004191
 :@0.120984:0.558378:0.125175:0.558378:0.125175:0.545266:0.120984:0.545266:0.004191
Exact location of incident *  :@0.120984:0.574342:0.336214:0.574342:0.336214:0.561229:0.120984:0.561229:0.009050:0.008512:0.009050:0.007844:0.006435:0.004043:0.004618:0.009884:0.007844:0.009068:0.006435:0.004636:0.009884:0.009884:0.004191:0.009921:0.005860:0.004056:0.004618:0.009884:0.007659:0.004618:0.009884:0.009272:0.009884:0.006466:0.004233:0.009272:0.004031:0.004191
 :@0.120984:0.590876:0.125175:0.590876:0.125175:0.577763:0.120984:0.577763:0.004191
PLEASE NOTE - You are required to precisely identify the incident location before we can formally :@0.120984:0.673544:0.870820:0.673544:0.870820:0.660431:0.120984:0.660431:0.009866:0.007844:0.009050:0.011127:0.008846:0.009050:0.004061:0.012277:0.012295:0.009254:0.009050:0.004309:0.005644:0.004031:0.009643:0.009903:0.009884:0.004191:0.009161:0.006583:0.009328:0.004191:0.006639:0.009272:0.009680:0.009884:0.004618:0.006639:0.009272:0.009884:0.004191:0.006472:0.009884:0.004191:0.009959:0.006583:0.009105:0.007844:0.004618:0.007436:0.009068:0.004618:0.008660:0.004191:0.004655:0.009884:0.009272:0.009884:0.006435:0.004636:0.005638:0.008846:0.004024:0.006435:0.009884:0.009272:0.004191:0.004655:0.009884:0.007659:0.004618:0.009884:0.009272:0.009884:0.006435:0.004228:0.004618:0.009884:0.007844:0.009068:0.006250:0.004618:0.009884:0.009884:0.004191:0.009959:0.009235:0.005860:0.009866:0.006639:0.009272:0.004191:0.013927:0.009272:0.004024:0.007844:0.009068:0.009884:0.004191:0.005860:0.009903:0.006639:0.015077:0.009161:0.004376:0.004618:0.008660:0.004191
consider your claim :@0.120984:0.691788:0.274936:0.691788:0.274936:0.678675:0.120984:0.678675:0.007844:0.009884:0.009884:0.007436:0.004618:0.009884:0.009272:0.006639:0.004024:0.008846:0.009884:0.009884:0.006639:0.004024:0.007844:0.004618:0.008864:0.004618:0.015053:0.004191
Full details of incident   how did the incident occur?* :@0.120984:0.722040:0.534410:0.722040:0.534410:0.708927:0.120984:0.708927:0.008512:0.009829:0.004618:0.004618:0.004191:0.009959:0.009235:0.006435:0.009087:0.004432:0.004618:0.007436:0.004191:0.009921:0.005860:0.004024:0.004618:0.009884:0.007659:0.004618:0.009884:0.009272:0.009884:0.006529:0.004191:0.009314:0.004233:0.009680:0.009884:0.013890:0.004191:0.009959:0.004562:0.009959:0.004243:0.006435:0.009884:0.009272:0.004040:0.004618:0.009884:0.007659:0.004618:0.009884:0.009272:0.009884:0.006435:0.004228:0.009884:0.007659:0.007844:0.009884:0.006639:0.008475:0.009316:0.004191
–:@0.294531:0.722040:0.303766:0.722040:0.303766:0.708927:0.294531:0.708927:0.009235
 :@0.120984:0.738574:0.125175:0.738574:0.125175:0.725461:0.120984:0.725461:0.004191
 :@0.120984:0.910034:0.125175:0.910034:0.125175:0.896921:0.120984:0.896921:0.004191