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jacksondavidf
2019-01-24T19:08:57-06:00
Schedule Services
[File attachment is at the bottom of the page]
YOUR Information
Name
First
Last
Phone
Email
PROCEEDING Information
Type of Proceeding
Arbitration
Court Hearing
Deposition/EBT
EUO
Trial
Meeting
VTC
Date Required
*
MM slash DD slash YYYY
Start Time
*
8:00 AM
8:15 AM
8:30 AM
8:45 AM
9:00 AM
9:15 AM
9:30 AM
9:45 AM
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
1:30 PM
1:45 PM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
3:15 PM
3:30 PM
3:45 PM
4:00 PM
4:15 PM
4:30 PM
4:45 PM
5:00 PM
5:15 PM
5:30 PM
5:45 PM
6:00 PM
Attorney Name
First
Last
Firm Name
*
Short Caption
*
Type of Case
Videographer Required?
Yes
No
Approximate Length of Job
0:15 Min
0:30 Min
0:45 Min
1:00 Hour
1:15 Hour
1:30 Hour
1:45 Hour
2:00 Hours
2:15 Hours
2:30 Hours
2:45 Hours
3:00 Hours
3:15 Hours
3:30 Hours
3:45 Hours
4:00 Hours
4:15 Hours
4:30 Hours
4:45 Hours
5:00 Hours
5:15 Hours
5:30 Hours
5:45 Hours
6:00 Hours
Court Number
*
Number of Attendees
Witness Name
First
Last
LOCATION Information
All parties attending remotely?
*
No
Yes
Remote party email addresses
If known, please enter the full emails of remote attendees, separated by a comma
Name of Location
Address of Proceeding
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Room Number
INSURANCE Information
Adjuster's Name
Last
Claimant Name
First
Last
Claim Number
Claimant Number
Name of Insured
First
Last
Pay kind code
VAL ID
Additional Insurance Billing Information
Additional Comments
INSURANCE Information
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