P.O. Box 50450 Philadelphia, PA 19132
(267) 918-6870 FAX: (215) 739-0956
Welcome to our website
In order to start the process, we will need some information about the plaintiff and his or her attorney. Please click on the Plaintiff Data button at the bottom of this page. This will open a new page with the questionnaire. Please fill in all of the blanks and click on the Submit button at the bottom of that page.
In addition to completing the questionnaire, please FAX the following items to us:
Policy Face Sheet
Police Report
Documentation for objective testing confirming injuries
