Client Intake

Knowing our clients have varying preferences, you have several options for requesting assignments.  You can

** Call our offices directly (888) 596-5004
** Email office@iwipi.com
** Fax (401) 312-0389
** Complete our web site intake form, see below.

Should you decide to utilize our website, fill out the form below as completely as possible.  Please note that this is a general form and not all fields may be pertinent to your particular assignment.  After our review of the provided information, a representative of IWI will be contacting you to confirm receipt as well as obtain additional information.


Client Information

Name
Company
Address
City, State, Zip
Email
Telephone No.
Fax No.

Investigative Information

Your File No.
Insured
Subject Name
Address
Telephone No.
Date of Birth
Social Security No.
Injury
Date of Loss

Objective
Please provide your objective and any additional information.



                       

     

office@iwipi.com          1-888-596-5004

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