Submit A Case - Policy Location | Battle Born Research

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Policy
Location
Cases

Submit A Case

Law Firm Name:*

Requestors Name:*

Requestors Email:*

Requestors Phone:*

Type of Case*

Personal Auto

Homeowner's

Workman's Compensation

Stand Alone Umbrella

Commercial Auto

Premises Liability

Commercial General Liability

Errors & Omissions (Professional Liability)

Plaintiff Name or Case #:*

Defendant Name:*

Date of Loss:*

Month

Day

Year

Defendants Address:

Other Defendant Information

Please include any additional information

For Auto: Vehicle Year, Make, Model, VIN number and Color (if known)

For Homeowners: Complete address, property owner (if known), type of incident

For Commercial: Any relevant business information.

Additional Notes:

Processing Speed: *

Standard (up to 14 business days)

7 day rush (additional $150 fee)

3 day rush (additional $280 fee)

12 hour rush ($340 fee)

Signature*

Sign in the box or use the keyboard to type.

Signature field is empty.

By signing and submitting, I agree to pay a one time (nonrefundable) research fee of $150 for every submission. An additional charge will be assessed if/when we provide a policy requested.

Information Uploads:

Payment:

An invoice for $150 research fee will be sent after your case is submitted. If you don't receive an invoice within 24 hours of submitting a case, please contact us by email or phone.

Please note research will not begin until the research fee is submitted. All rush times begin when payment (research fee + rush fee) is received

Questions:

Email: Hillary@BBornResearch.com
(775) 342-8486

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