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Records

Workers' Compensation Records Order

Please complete the form below to submit a workers' compensation case records request.  If you would prefer, feel free to contact us directly, or if you have already registered for client portal access, click here to login to your account to place an order.

Order Information

Fax To: (800) 797-4749

Rush?

Requester

Send Invoice To

Ship To

Number and Types of Records

Download Only (DO NOT send Paper or CD)

Summarize over 50 pages

Index Records (list page number, name of provider and brief description only.)

 

Obtain Records Regarding

Case Information

Case Filed?

Yes

Court Information

Type

Records Only

Trial

Deposition

Subpoena for Records

Deposition By:

Stenographic

Audio or Video Technology

Parties Entitled to Notice

Send notice to Consumer:

Yes

 

Records From Witness Location

Medical

Bills

X-ray Films

Psychiatric (Release Needed)

Financial

Schools

Employment

Insurance

Others

 

Attach Supporting Documents


( doc, docx & pdf File Only. Other file type will be discarded automatically )

 

Special Instructions