Litigation Support Form

Your Information

Attorney First Name        Attorney Last Name

Attorney E-mail

Paralegal First Name      Paralegal Last Name

Paralegal email

Only fill out the address and contact numbers if:
You are a NEW CLIENT
OR
you have a CHANGE
Firm Name

Address - Physical

Address - Mailing

Telephone        Ext.

Fax

Mobile

Your Client's Information

Client's Company

Client's Name

ID type      ID number

2^nd ID type       2^nd ID number

Loss Information

Name of Insured or Claimant

Address

Home

Work                 Ext.

Mobile

Loss Date            Loss Amount            Loss Time

Contact

Contact telephone numbers

Style of Case (Doe vs Doe)

Party you are Representing

Opposing Council's Information
(Name, Firm, Address, Phone, E-mail and Fax)

A.C.E.'s assignment

Special Instructions/Additional Information

This marketing introduction describes some of our expertise. For more information, comments or questions, please contact us. 1.866.451.5438, contact form, or office@aceForensics.com