Address
5401 South Kirkman Road
Suite 310
Orlando, FL 32819
Phone/Fax
Phone: (407) 574-5372
Fax: (781) 380-8844

Email
summitpi@cs.com

Office Hours
Monday - Friday 9:00AM to 5:00PM
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)                                    







Injury                                                   Attorney (Name/Address)



Doctor (Name/Address)




Employer                                                 Type of Work


Eployer Contact Person


Background info





Investigative Goals/Special Instructions













How would you like us to confirm
receipt of your assignment?
EmailPhone