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Enroll New Client

Current member Law Firms can use the New Client Enrollment form to send us information about their client.

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New Client Enrollment Form

Firm Submitted Name

Law Firm Name

Client Name

Client Date of Birth

Client Address 1

Client Address 2

Client Phone

Client Email

Type of Case

Motor Vehicle Accident

Occupier Liability

Long-term Disability

Medical Malpractice

Other

Case Jurisdiction

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