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Haag Firensics will contact you about submitted assignments within 24 hours, on business days, 8 AM to 4:30 PM. If your assignment is urgent, please call 214-290-8030. If you have follow-up information or questions, please email firensics@haagglobal.com.

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Client Name *

First Name

Last Name

Company *

Email *

Phone *

Fax

Address

City

State/Province

Zip

Country

Policy Number

Claim Number

Date/Time of Loss:

Month

Day

Year

Time

Policy Holder Name: *

First Name

Last Name

Policy Holder Address:

City

State/Province

Zip

Country

Person to Contact

Residence Phone

Business Phone

Contact Phone

Claimant Information- Name

First Name

Last Name

Address

City

State/Province

Zip

Country

Person to Contact

Residence Phone

Business Phone

Contact Phone

Loss Information- Loss Location

Loss Description

Further Info & Instructions

Type of Investigation

Areas of Expertise

Books and Tools list

Haag's Specialized Testing

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