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Submitter Contact Information

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.



Steps

  1. Submitter Info
  2. Injured Person
  3. Responsible Party
  4. Accident Info
  5. Docs & Comments
  6. Review & Submit