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Submit your claim information below and we will reach out to you shortly with pricing information and will begin contact efforts on your claim immediately.

Adjuster Name

First Name

Last Name

Phone

(###)

###

####

Service requested:

Recorded Statement

3-Way Call

Translation/Transcription

Claimant Name

First Name

Last Name

Claimant Phone

(###)

###

####

Insured

Claim Number

If FROI is unavailable please fill out the following:

Date of Incident

Synopsis

Known Injuries

Additional Questions

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Orozco Spanish Services