Submit an Assignment - U.S. Forensic

Client Information
Client Company Name*
Contact Name*
First Last
Title
Phone*
Cell Phone
Address
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Claim Information
Claim Number
Policy Number
File Number
Insured*
Insured's Phone
Claimant
Claimant's Phone
Invoicing Information
Is the Invoicing Information different from the Client Information above?*
- No
- Yes
Company Name
Contact Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Loss Information
Date of Occurrence
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State ZIP Code
Please provide a brief description of what happened:
Instructions:
Any additional information we may need:
File Uploads
** IMPORTANT NOTE: Files uploaded here are limited to to 2MB in size. If you have larger files to submit to us, please email us and attach your files.**

Allowed file extensions: jpg, docx, xlsx, pptx, gif, png, bmp, doc, pdf, ppt, pps, xls, txt
File 1
Max. file size: 2 MB.
File 2
Accepted file types: jpg, docx, xlsx, pptx, gif, png, bmp, doc, pdf, ppt, pps, xls, txt, Max. file size: 2 MB.
File 3
Max. file size: 2 MB.
File 4
Max. file size: 2 MB.
File 5
Max. file size: 50 MB.
Submit Your Form
- Have a project manager call me before commencing work on an assignment.
Email
This field is for validation purposes and should be left unchanged.

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Client Information