Concept A — clean & light · redesign demo for SE Forensic (not the live site). Feedback →

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For attorneys, adjusters & carriers

Submit an Assignment

Provide basic case information for conflict check and assignment review. Please do not send privileged material until engagement is confirmed.

Contact Information

Firm / Company

Primary Contact

Email *

Office Phone

Cell Phone

Representing

Case Information

Date of Incident / Loss

Claim or Case Number

Type of Case

Automotive Accident Slip / Trip & Fall Premises Liability Chair Failure Product Failure Other / describe

Other / describe

Conflict Check — Parties

Party / Entity NameRole

Vehicle Information

YearMakeModelVIN

Requested Expert / Services

Requested Expert Name or No Preference

Services Requested

Accident Reconstruction Vehicle Inspection EDR / Black Box Premises Inspection Product Evaluation 3D Scan / Animation

Important Dates

DateWhat is important about this date?

Notes / Priority

Brief Notes / Assignment Details

URGENT PRIORITY Please contact me within 24–48 hours Submitted for conflict check and assignment review only

Demo form — submissions are not sent anywhere. On the live site this emails the team with a subject-line summary, copies info@seforensic.com, and confidentially notifies billing — and can feed your conflict-check system.

Thanks — on the live site this would reach the SE Forensic team and start the conflict check & assignment review. We'll be in touch shortly.

Accident reconstruction and forensic engineering for attorneys, insurers, and risk managers across the Southeast United States.

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Tallahassee · (850) 577-1125 Sarasota · (941) 315-7332 Submit a case Locations EDR coverage lookup

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