Refer Us a Subrogation Case

Workers’ Compensation Subrogation
Please do not hesitate to refer us a workers’ compensation subrogation matter electronically. Someone will acknowledge the new file assignment within 24 hours, and we will immediately begin our investigation. There will be no fee for our investigation. For questions about how our “No Fee” program works, please see our "Frequently Asked Questions" Section.

Name
Email
Phone
Company Name
Claim Number
Reserve Amount
Insured Name
Insured Contact Person
Contact Person's Phone Number
Injured Worker's Name
Injured Worker's Phone Number
Injured Worker's Attorney's Name (if known)
Attorney's Phone Number
Date of Loss
Loss Location (City and State)
Brief Description of Accident
Brief Description of Injuries
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