Please fill out the following form to initiate the case intake process.
Fields in yellow are required.*
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TELL US ABOUT YOURSELF
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Name: |
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Company Name: |
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How are you involved with this case? |
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Title: |
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Address: |
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City: |
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State: |
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Zip: |
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Please enter the phone number where you can be reached
between 7:30 a.m. and 4:30 p.m. PDT, Monday through Friday:
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Fax: |
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Email: |
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TELL US ABOUT THE CASE |
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Name of Case: |
VS
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Project Involved in Case: |
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Project Location: |
City:
State:
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Client:
(Company/individual requesting services for case)
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Expert Witness - Standard of Care |
Expert Witness - Cost of Repair |
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Destructive Testing |
Other
Please provide details in the space provided below |
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Thank you for using our online case information form.
You will be contacted within the next few business days by an associate at SC Wright Construction, Inc.
for further information about your case and to answer any questions you may have. If you have made the
decision to retain SC Wright Construction, Inc. and would like for us to begin work on your case, continue
to the next section. If you are only seeking information as to our services and capabilities, you may
stop here. We look forward to speaking with you.
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If you have decided to retain our services and would like for SC Wright Construction, Inc. to open a job
file for this case, we will need additional information for classification and billing purposes.
Only complete this section if you are ready for a file to be established. If you are only interested in
information about our services and/or how we can help your case, you need only complete the previous
section of this form.
Fields in yellow are required for work to begin.
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CLIENT’S INSURANCE CARRIER |
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Primary Insurance Carrier: |
Address: |
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City: |
State: |
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Zip: |
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Fax: |
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Claim Number or File Number: |
Insurance Adjuster: |
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There is an additional insurance carrier aligned with the client.
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CLIENT'S ATTORNEY
Tell us about the client’s attorney(s):
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Primary Law Firm Name |
Attorney Assigned to Case |
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Case Number Assigned by Firm:
(Required field only if no insurance claim
or file number is given)
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Address: |
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City: |
State: |
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Phone: |
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E Mail: |
If an additional law firm has been designated as
co-counsel in this case check here :
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DEPOSITORY
If you know the depository designated for this case, enter information below:
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Depository: |
City: |
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State: |
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Fax: |
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If you know who is retaining SCW (for billing purposes), select one of the options below:
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BILL SCW SERVICES TO:
Insurance Carrier
Law Firm/Attorney
Other
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Thank you for using our online case processing form.
You will be contacted between 7:30 a.m. and 4:30 p.m. PDT the next business day by an associate at
SC Wright Construction, Inc. to confirm the above information and answer any questions you may have.
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*IMMEDIATE ACTION REQUIRED
Site Inspection Schedule
Law Firm/Attorney
Other
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