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Claim Information ( File# : {{ $form_data['file_no'] }} ) * Required Field
@if (session()->has('message'))
{{ session('message') }}
@endif
@error('form_data.claim_number')
{{ $message }}
@enderror
@error('form_data.policy_number')
{{ $message }}
@enderror
@error('form_data.deductible_amount')
{{ $message }}
@enderror
@error('form_data.date_of_loss')
{{ $message }}
@enderror
@if ($form_data['loss_type_id'] == "2")
@endif
@error('form_data.insured_name')
{{ $message }}
@enderror
Type of Loss Description

Collision - This is dealing with an automobile.

Commercial Property - This is real property - real estate.

Comprehensive - This is dealing with an automobile.

Liability/PD - This is dealing with an automobile.

Other - This is dealing with an automobile.

Residential Property - This is real property - real estate.

Owner Information
@error('form_data.business_name')
{{ $message }}
@enderror
@error('form_data.business_first_name')
{{ $message }}
@enderror
@error('form_data.business_last_name')
{{ $message }}
@enderror
@error('form_data.business_email_address')
{{ $message }}
@enderror
@error('form_data.business_phone_number')
{{ $message }}
@enderror
@error('form_data.additional_phone_number')
{{ $message }}
@enderror
@error('form_data.business_contact_name')
{{ $message }}
@enderror
@error('form_data.business_street')
{{ $message }}
@enderror
@error('form_data.business_postcode')
{{ $message }}
@enderror
@error('form_data.business_city')
{{ $message }}
@enderror
Vehicle Location
@error('form_data.vehicle_location_name')
{{ $message }}
@enderror
@error('form_data.vehicle_phone_number')
{{ $message }}
@enderror

@error('form_data.vehicle_street')
{{ $message }}
@enderror
@error('form_data.vehicle_postcode')
{{ $message }}
@enderror
@error('form_data.vehicle_city')
{{ $message }}
@enderror
@if ($additional_shop_info_selected === "YES")
Shop business details
@endif
Vehicle Information
@error('vehicle_info.vehicle_vin')
{{ $message }}
@enderror
@error('vehicle_info.vehicle_year')
{{ $message }}
@enderror
@error('vehicle_info.vehicle_make')
{{ $message }}
@enderror
@error('vehicle_info.vehicle_model')
{{ $message }}
@enderror
@error('vehicle_info.vehicle_license_plate')
{{ $message }}
@enderror
@error('vehicle_info.vehicle_color')
{{ $message }}
@enderror
@error('vehicle_info.vehicle_mileage')
{{ $message }}
@enderror
@error('vehicle_info.vehicle_note')
{{ $message }}
@enderror
Inspection Appointment
@error('form_data.appointment_date')
{{ $message }}
@enderror
@error('form_data.instruction')
{{ $message }}
@enderror
@error('form_data.newfileattach')
{{ $message }}
@enderror
@if($showPriorityModal)
Priority Assignment Details
@endif