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Information Required
Automobile
- Completed Attorney Questionnaire
signed by a licensed attorney;
- Police Report;
- Medical records for the initial
date of treatment after the incident;
- Medical records indicating the
injury received; and
- Complaint, if filed.
Medical
Malpractice
- Completed Attorney Questionnaire
signed by a licensed attorney;
- Medical Expert’s Report
or doctor’s certification letter;
- Medical records for the initial
date of treatment after claimed negligent act;
- Medical records indicating the
injury arising from claimed negligent act;
- Complaint, if filed.
Worker’s
Compensation
- Completed Attorney Questionnaire
signed by a licensed attorney;
- Workers Compensation Incident
report;
- Medical records for the initial
date of treatment after the incident;
- Medical records indicating the
assessed permanency rating; and
- Medical Examination Report (ex.:
IME, QME, AME), if available.
Settled
Cases
- Completed Attorney Questionnaire
signed by a licensed attorney; and
- Copy of the fully executed final
Settlement Agreement that includes the signature
of both the plaintiff(s) and the defendant(s) in
the case.
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