R & B Insurance Corporation

Personal Accident

Insures students, parents, workers, employees, executives, businessmen, and travelers against accidental death or dismemberment.

CHECKLIST:

	Name of Assured:
	Address:
	Telephone Number:
	Fax Number:
	Kind of Work:
	Skilled
	Semi Skilled
	Office Worker/Managers/Accountant/
	Secretaries/Lawyers
	Type of Coverage:
	Student
	Group
	Travelers Insurance