Easy File Referral

"We know that you have your own referral forms and procedures for mailing out a file, but by filling in the easy form below we can immediately begin your representation and:

1. Calendar any appearance;

2. Notice all parties;

3. Request medicals;

4. Start discovery;

5. Set depositions;

6. Respond to any specific request you have.

All of this will take place even before the mailed file is received by us. Try this easy file referral."

NOTE: An asterisk (*) indicates REQUIRED information. The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

*Applicant:   
Applicant's Attorney:   
Carrier/TPA:   
Adjuster:   
Phone Number:   
Claim Number:   
Employer:   
*Email Address:   
Specific Requests:

Serving clients throughout Southern California, the Los Angeles area, and San Fernando Valley, including the cities of Santa Monica, Torrance, Long Beach, Pomona, Riverside, San Bernardino, Ontario, Van Nuys, Sherman Oaks, Encino, Woodland Hills, Reseda, Tarzana, Oxnard, and Ventura.

Los Angeles County • Orange County • Riverside County • San Bernardino County • Ventura County

Main Office/Los Angeles County:

400 Corporate Pointe
Suite 800
Culver City, CA 90230
Phone: (310) 216-7778
Fax: (310) 216-9552
E-mail Us


Inland Empire/Orange County/All Others:

9513 Business Center Drive,
Suite H
Rancho Cucamonga, CA 91730
Phone: (909) 476-1333
Fax: (909) 476-2131
E-mail Us


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