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Personal lines insurance includes property and casualty insurance products that protect individuals from losses they couldn’t afford to cover on their own. These types of insurance lines make it .... Kindly quote the claims notification number given at the completion of your submission. Weekly Income Benefit Claim Form. Date Of Accident: * (DD/MM/YYYY) Time Of Accident: Cause Of Injury: (Please state exactly what happened including nature and cause of injury (if insufficient space, please attach statement)) * Total Claim Amount:.