Step 1: Choose the orange 'Get Form Now' button on the following page. There isn't much you should do to edit the geico claim form file - only adopt these measures in the next order: Handful of tasks are simpler than managing documentation through our PDF editor. HAVE YOU RECEIVED, OR ARE YOU ELIGIBLE FOR, BENEFITS UNDER IS CONDITION SOLELY A RESULT OF THIS ACCIDENT? HAVE YOU EVER HAD THE SAME OR A SIMILAR CONDITION? WERE YOU THE DRIVER OF A CAR OTHER THAN OURĪRE YOU A MEMBER OF OUR POLICYHOLDER’S HOUSEHOLD?ĪS A RESULT OF THIS ACCIDENT, WERE YOU INJURED? WERE YOU A PASSENGER IN OUR POLICYHOLDER’S CAR? WERE YOU THE DRIVER OF OUR POLICYHOLDER’S CAR? TO ENABLE US TO DETERMINE IF YOU ARE ENTITLED TO BENEFITS UNDER THE PERSONAL INJURY PROTECTION AND/OR NO-FAULT LAW, PLEASE COMPLETE THIS FORM AND RETURN IT PROMPTLY.ĭESCRIPTION OF ACCIDENT AND VEHICLES INVOLVED: Landlord (Tenant) Recommendation LetterĪPPLICATION FOR BENEFITS – PERSONAL INJURY PROTECTION.