Casualty Investigation

Current clients can request an investigation using the form below. For general contact, please use the form here.

Please provide as much information about the claim as possible. Required fields are marked with an * asterisk. If you do not have the information for a required field, please enter "unknown."
  • Claim Details and Assignment Type

  • Special Instructions for Statements/Interviews (optional below)
  • Client Information/Reporting Address

  • Insured Name and Contact Information

  • First
  • Middle
  • Last
  • Claimant Information - Primary

  • First
  • First
  • First