LEGENDS
CLAIMS SERVICE of ARIZONA

Reporting Intervals

7 Days

10 Days

14 Days

30 Days

Client [your contact info] *

Contact Information for Insured/Claimant/Witness *

Phone Statement Request: *

Insured

Claimant

Witness

Other

Facts of Loss / Comments / Other Information

Named Insured *

Claim Number: *

Date of Loss: *

PHONE STATEMENT ASSIGNMENT

Perfect for "hard to contact" insured, claimant or witness
After-Hours and Weekends: documented contact attempts
24-hour contact attempt to all parties
Status Reports at your intervals
Flat-rate, easy to budget, costs:
$250: completed recorded statement with detailed report + digital RS
$75: non-cooperative individual; report with list of contact attempts date/time

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Upload File *