NEW CUSTOMER ASSIGNMENT

New Customer Assignment

If you’re not a Horsemen Investigations customer and you would like to submit your first assignment to us, please fill-out the New Customer Assignment Form below and a sales representative will contact you shortly.

INVESTIGATION ASSIGNMENT

REQUESTOR

CLAIMANT

DESCRIPTION

INJURY

Please note left or right

ADDITIONAL INFORMATION

Click or drag files to this area to upload. You can upload up to 4 files.
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