[보상 청구 서류 안내] 동부생명보험

<TABLE class=MsoNormalTable style="WIDTH: 405.75pt" cellSpacing=0 cellPadding=0 width=541 border=0> <TBODY> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm"> 동부생명보험 보험금 신청서류 안내(20090112 최종확인) <A title="[http://www.dongbulife.co.kr/Private/HelpDesk/Guide_Accident.jsp]로 이동합니다." href="http://www.dongbulife.co.kr/Private/HelpDesk/Guide_Accident.jsp" target=_blank>☞보험금신청 서류 안내</A>   동부생명보험 콜센터 1588-3131   보험금청구서 양식 ☞<A title="[http://www.dongbulife.co.kr/cabsoft/instrx/loading.htm]로 이동합니다." href="http://www.dongbulife.co.kr/cabsoft/instrx/loading.htm" target=_blank>다운로드</A> (뷰어 프로그램 설치창이 뜨면 클릭하셔서 설치하세요)   개인보험 (단체보험중 보험대상자(피보험자))가 보험료 전부를 부담하는 경우 포함)</TD></TR></TBODY></TABLE> <?xml:namespace prefix = v ns = "urn:schemas-microsoft-com:vml" /><v:shapetype id=_x0000_t75 stroked="f" filled="f" path="m@4@5l@4@11@9@11@9@5xe" o:preferrelative="t" o:spt="75" coordsize="21600,21600"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn 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style="MARGIN-LEFT: 7.5pt; WIDTH: 398.25pt" cellSpacing=0 cellPadding=0 width=531 border=0> <TBODY> <TR style="HEIGHT: 1.5pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #48ada9; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 1.5pt" colSpan=7>  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #e7f6f3; PADDING-BOTTOM: 0cm; WIDTH: 26.25pt; PADDING-TOP: 2.25pt; HEIGHT: 0.75pt" width=35> 구분</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 2.25pt; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #e7f6f3; PADDING-BOTTOM: 0cm; WIDTH: 45pt; PADDING-TOP: 2.25pt; HEIGHT: 0.75pt" width=60> 종류</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 2.25pt; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #e7f6f3; PADDING-BOTTOM: 0cm; PADDING-TOP: 2.25pt; HEIGHT: 0.75pt"> 구 비 서 류</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; WIDTH: 0.75pt; PADDING-TOP: 2.25pt; HEIGHT: 0.75pt" width=1> </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #e7f6f3; PADDING-BOTTOM: 0cm; PADDING-TOP: 2.25pt; HEIGHT: 0.75pt"> 발급기관</TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=7>  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=3> 공통서류</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 보험금청구서</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 당사양식</TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=7>  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" rowSpan=5> 사망</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 일반사망</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 사망진단서 또는 사체검안서</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" rowSpan=3> 해당 의료기관 경찰서</TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=5>  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 재해사망</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 사망진단서 또는 사체검안서, 재해관련서류(변사사고사실확인서, 진료기록 등)</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=6>  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 추가서류</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 7.5pt; PADDING-TOP: 7.5pt; HEIGHT: 0.75pt" vAlign=top> <TABLE class=MsoNormalTable style="WIDTH: 100%" cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> <v:shape id=그림_x0020_2 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1048"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape>수익자 미지정시</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt">  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> -사망사실이 확인되는 기본증명서, 가족관계증명서, 혼인관계증명서</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt">  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> -상속인 전원의 기본증명서, 상속관계 확인 가능한 제적등본</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt">  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> -상속인 전원의 인감증명서, 수령위임장</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt">  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> <v:shape id=그림_x0020_3 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1049"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape>수익자 지정시</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt">  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> -사망사실이 확인되는 기본증명서, 지정수익자의 기본증명서</TD></TR></TBODY></TABLE></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt"> 읍/면/동 사무소</TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=7>  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" rowSpan=9> 진단</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 암</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> <TABLE class=MsoNormalTable cellSpacing=0 cellPadding=0 border=0> <TBODY> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> <v:shape id=그림_x0020_4 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1050"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape>진단서, 조직검사결과지</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt">  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> -암 진단명에 따른 추가서류 및 검사결과지가 보완 될 수 있습니다. </TD></TR></TBODY></TABLE></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" rowSpan=9> 해당 의료기관</TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 간암, 폐암, 췌장암</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서, 조직검사결과지 및 방사선판독지</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 백혈병</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서, 골수검사지</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 뇌출혈, 뇌경색증</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서, 판독결과지(CT, MRI, PET, SPECT, 뇌척수액검사)</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 급성심근경색증</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서, 검사결과지(심장효소검사(CK-MB), 심전도, 심장초음파, 관상동맥촬영술)</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" rowSpan=7> 장해</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 일반장해</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 후유장해진단서</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" rowSpan=7> 종합(대학) 병원 경찰서</TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 재해장해</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 후유장해진단서, 재해입증서류(진료기록, 교통사고사실확인원 등)</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top colSpan=3> ※ 후유장해진단서에는 진단병명, 발생시기, 장해내용, 사고인과관계(외상기여도), 향후 치료의견 등이 반드시 기재되어야 합니다. ※ 팔다리관절 운동장해, 척추운동장해 등은 반드시 AMA 방식의 운동각도가 기재되어야 합니다. </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 일반진단서로 대체 가능한 장해</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> <TABLE class=MsoNormalTable style="WIDTH: 100%" cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm" vAlign=top width=7> <v:shape id=그림_x0020_5 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1051"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> 만성신부전 (최초 혈액투석일자가 기재되어 있으면 가능합니다)</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt" colSpan=2>  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm" vAlign=top width=7> <v:shape id=그림_x0020_6 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1052"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> 사지절단 (절단부위가 상세히 기재되어 있으면 가능합니다)</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt" colSpan=2>  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm" vAlign=top width=7> <v:shape id=그림_x0020_7 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1053"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> 인공관절 (치환수술일자가 기재되어 있으면 가능합니다)</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt" colSpan=2>  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm" vAlign=top width=7> <v:shape id=그림_x0020_8 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1054"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> 비장, 신장상실 (적출일자가 기재되어 있으면 가능합니다)</TD></TR> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 2.25pt" colSpan=2>  </TD></TR></TBODY></TABLE></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" rowSpan=5> 수술</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 일반수술, 5종수술</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" rowSpan=15> 해당 의료기관 경찰서</TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 재해수술</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서, 재해입증서류(진료기록, 교통사고사실확인원 등)</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" colSpan=3> - 진단서에는 진단명, 질병분류코드, 수술명, 수술일자가 반드시 기재되어 있어야 합니다.</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=3> 골절</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> <TABLE class=MsoNormalTable style="WIDTH: 100%" cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm" vAlign=top width=7> <v:shape id=그림_x0020_9 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1055"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> 진단서, 재해입증서류 (진료기록, 교통사고사실확인원 등)</TD></TR></TBODY></TABLE>   <TABLE class=MsoNormalTable style="WIDTH: 100%" cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm; HEIGHT: 2.25pt" width=7>  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> -진단서에는 진단명, 질병분류코드가 반드시 기재되어 있어야하며, 골절은 확진에 한합니다.</TD></TR></TBODY></TABLE></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" colSpan=3> 통원</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> <TABLE class=MsoNormalTable style="WIDTH: 100%" cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm" vAlign=top width=7> <v:shape id=그림_x0020_10 style="VISIBILITY: visible; WIDTH: 5.25pt; HEIGHT: 6.75pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Private/HelpDesk/Blt.gif" type="#_x0000_t75" o:spid="_x0000_s1056"><v:imagedata o:title="Blt" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image003.gif"></v:imagedata></v:shape></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> 진단서, 통원확인서, 재해입증서류 (진료기록, 교통사고사실확인원 등)</TD></TR></TBODY></TABLE>   <TABLE class=MsoNormalTable style="WIDTH: 100%" cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR style="HEIGHT: 2.25pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; WIDTH: 5.25pt; PADDING-TOP: 0cm; HEIGHT: 2.25pt" width=7>  </TD></TR> <TR> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm" vAlign=top> -진단서에는 진단명, 질병분류코드, 통원일자가 반드시 기재되어 있어야 합니다.</TD></TR></TBODY></TABLE></TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #f5fdfa; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt" rowSpan=5> 입원</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 질병입원</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서, 입원확인서</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt"> 재해입원</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" vAlign=top> 진단서, 입원확인서, 재해입증서류(진료기록, 교통사고사실확인원 등)</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 3.75pt; PADDING-LEFT: 3.75pt; PADDING-BOTTOM: 3.75pt; PADDING-TOP: 3.75pt; HEIGHT: 0.75pt" colSpan=3> - 입원확인서에 진단명이 기재되어 있는 경우, 진단서는 미제출 가능합니다.</TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR> <TR style="HEIGHT: 0.75pt"> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD> <TD style="PADDING-RIGHT: 0cm; PADDING-LEFT: 0cm; BACKGROUND: #d1e3df; PADDING-BOTTOM: 0cm; PADDING-TOP: 0cm; HEIGHT: 0.75pt">  </TD></TR></TBODY></TABLE> <v:shape id=그림_x0020_11 style="VISIBILITY: visible; WIDTH: 0.75pt; HEIGHT: 5.25pt; mso-wrap-style: square" alt="http://www.dongbulife.co.kr/Images/Common/Blank.gif" type="#_x0000_t75" o:spid="_x0000_s1057"><v:imagedata o:title="Blank" src="file:///C:\DOCUME~1\NOPAIN~1\LOCALS~1\Temp\msohtml1\01\clip_image001.gif"></v:imagedata></v:shape> <TABLE cellSpacing=0 cellPadding=0 width=541 border=0> <TBODY> <TR vAlign=top> <TD width=4>  </TD> <TD width=7> -</TD> <TD class=Com_Cont width=530> 사망, 진단, 장해보험금 청구시에는 상기 서류 외 위임장 및 인감증명서 2통이 추가로 필요합니다.</TD></TR> <TR> <TD colSpan=3 height=3> </TD></TR> <TR vAlign=top> <TD width=4>  </TD> <TD width=7> -</TD> <TD class=Com_Cont> 수술, 골절, 통원, 입원보험금 청구시에도 사안에 따라 위임장 및 인감증명서 2통, 추가서류가 필요할 수 있습니다</TD></TR> <TR> <TD colSpan=3 height=3> </TD></TR> <TR vAlign=top> <TD width=4>  </TD> <TD width=7> -</TD> <TD class=Com_Cont> 인감증명서 유효기간 : 발급일로부터 3개월 이내</TD></TR> <TR> <TD colSpan=3 height=3> </TD></TR> <TR vAlign=top> <TD width=4>  </TD> <TD width=7> -</TD> <TD class=Com_Cont> 보험금 청구시 상기 필요한 서류가 구비되지 않을 경우, 보험금 접수가 되지 않을 수 있음을 양지해 주시기 바랍니다.</TD></TR></TBODY></TABLE>     <TABLE height="100%" cellSpacing=0 cellPadding=0 width="51%" border=0> <TBODY> <TR> <TD vAlign=top height="100%"> <TABLE cellSpacing=0 cellPadding=0 width=541 border=0> <TBODY> <TR vAlign=top> <TD style="PADDING-BOTTOM: 50px" width=541> <IMG src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FPrivate%2FHelpDesk%2FGuide_Accident_St03.gif" border=0>   <TABLE cellSpacing=0 cellPadding=0 width=541 border=0> <TBODY> <TR vAlign=top> <TD width=10>  </TD> <TD width=7> <IMG src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlt01.gif" border=0></TD> <TD class=Com_Cont> 보험금 청구시 작성해야 할 양식 <IMG height=3 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0> - ① 사고보험금 청구서 ② 보험금 청구 및 수령위임장 ③ 위임장  </TD></TR> <TR> <TD colSpan=3 height=8> </TD></TR> <TR vAlign=top> <TD width=10>  </TD> <TD width=7> <IMG src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlt01.gif" border=0></TD> <TD class=Com_Cont> 보험금 청구서 작성의 예 <IMG height=3 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0> - 보험금 수령인이 지정되어 있는 경우   1장 ( ① 사고보험금 청구서 ) 만 작성 - 지정된 수령인이 미성년자인 경우   2장 ( ① 사고보험금 청구서 + ② 보험금 청구 및 수령위임장) 모두 작성   ( 이경우 보험금 수령이 가능한 사람은 친권자의 부모입니다) <IMG height=3 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0> - 지정된 수령인이 다른 사람에게 수령을 위임할 경우   2장 ( ① 사고보험금 청구서 + ② 보험금 청구 및 수령위임장) 모두 작성   ( 수령을 위임 받으실 수 있는 분은 직계가족에 한합니다) <IMG height=3 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0> - 사망으로 인한 상속처럼 보험금 수령권이 여러 명에게 있을 경우   2장 ( ① 사고보험금 청구서 + ② 보험금 청구 및 수령위임장) 모두 작성  </TD></TR> <TR> <TD colSpan=3 height=8> </TD></TR> <TR vAlign=top> <TD width=10>  </TD> <TD width=7> <IMG src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlt01.gif" border=0></TD> <TD class=Com_Cont> 보험금 청구서 작성시 유의사항 <IMG height=3 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0> - ③ 위임장 양식 작성시 유의사항   사고자 생존시 : 사고자 = 위임자   사고자 생존시 (미성년자일 때) : 사고자 * 위임자 = 친권자인 부모   사고자 사망시 : 사고자 * 위임자 = 법정 상속인  </TD></TR> <TR> <TD colSpan=3 height=8> </TD></TR> <TR vAlign=top> <TD width=10>  </TD> <TD width=7> <IMG src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlt01.gif" border=0></TD> <TD class=Com_Cont> 보내실 주소 <IMG height=3 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0> - 서울시 용산구 갈월동 98-38 청룡빌딩 7층 동부생명 보험금심사팀(우편번호 140-759) 일반우편 발송시 분실우려가 있으니 등기우편 발송해 주시기 바랍니다.    </TD></TR></TBODY></TABLE> <IMG src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FPrivate%2FHelpDesk%2FGuide_Accident_St04.gif" border=0> <IMG height=13 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0>   <TABLE cellSpacing=0 cellPadding=0 width=541 border=0> <TBODY> <TR vAlign=top> <TD width=10>  </TD> <TD width=7> <IMG src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlt01.gif" border=0></TD> <TD class=Com_Cont> 보험금 청구서 작성요령 <IMG height=3 src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fwww.dongbulife.co.kr%2FImages%2FCommon%2FBlank.gif" width=1 border=0> - 기입하실 세장의 청구서를 그대로 출력하여 항목별로 수기로 작성하신 후 인감도장을 날인하시어 우편으로 접수합니다.  </TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>