What you need to know about reporting as "Client". This option is for a client or their representative. The Submitter does not have to be the client or the injured person but they are the person we will contact if we have questions. They also receive the confirmation email after this form is submitted.
Why do we need your email address?
An email address is required because we send you a confirmation email that your submission has been received.
For security reasons, your session will timeout in: . Press OK to extend your session.
