Please note that you can use the online case assgnment form on this page to transmit assignments to us. We will respond with a confirmation email shortly after receiving the assignment. Additionally, cases can be called in or faxed to our office. We will send a confirmation email on all faxed cases as well.
Please fill out the form below as completely as possible and then hit submit at the bottom of the page
Client Information
NamePhone Number
EmailCompany Name
Type of Case
Assignment
Claimant/Subject Information
Name Phone
Date of Birth Soc#
Address Date of Loss
City State Zip Code
Physical Description (If Available) Vehicle Info (If Available)