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8/15/2008
Larry Buckfire
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Michigan Attendant Care Service Claim Forms

Michigan car accident victims often require Attendant Care Services to be provided to them while they rehabilitate and recover from their injuries. This includes assistance with bathing, grooming, medications, transfers, toileting, and even supervision. To obtain these No-Fault benefits, a claim must be timely submitted with the proper auto insurance company. The best way to submit these claims is by using forms that can be downloaded for free from the Libary section of our website.

The first form is the Attendant Care Service Claim Form. This should be submitted on a monthly basis and it specifies the type of services provided, the hours of service, the hourly rate, and the name of the service provider. The second form is the Disability Certificate For Nursing Services Form that is to be completed by the treating physician. It specifies the need for services, the hours required, and the dates for required services. This should both be submitted to the insurance adjuster on a monthly basis. If you have questions on these benefits, feel free to contact us by filling out this contact form or call us anytime at (800) 606-1717.

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Southfield, MI 48075

Toll Free: (800) 606-1717
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The insurance company refused to pay my benefits. Mr. Buckfire filed a lawsuit against them and made them pay every penny that they owed... Every time I see my doctor, I thank her again for the referral to Buckfire & Buckfire.

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