Information Regarding Defendants
Defendant(s) - Individual(s)
Defendant(s) - Organization(s)
Information Regarding Defense Representatives
Information Regarding Plaintiff(s) and Representative(s)
Information Regarding Accident¹
Information Regarding Property Damage
Describe type of damage and amount.
Information Regarding Injuries
Irrespective of causation, please provide the following and reasonable value of those services:
Plaintiff’s Settlement Demands
Defense Settlement Offers
1. If desired, upload Brief with additional information, photo(s)/video(s).
2. If desired, upload the defense medical report.