Claim Information [MV]

Claim information is as follows. The required information is bold. You may choose to upload information for Litigation, Smoking History, or Exposure History or all of them at once. Please see the requirements for each section.

• • AttorneyID

    • this is provided by CRMC

  • ContactID

    • • this is provided by CRMC

  • CoCounselFirmID

    • • this is provided by CRMC

  • CoCounselAttorneyID

    • • this is provided by CRMC

  • CopyDocs

    • • Yes or No. Will copy all available medical documents that the claimant may already have on file to the newly created claim.

  • Litigation Information

    • • see about Litigation Information here

  • Smoking Information

    • see about Smoking Information here

  • HybAllegedDiseaseCD

    • This is only needed for Hybrid filers. more about AllegedDisease here

  • AssertPacorIntent

    • Yes or No. Indicate a Firm's intention to file a Pacor claim when filing a MV claim

  • Exposure Information

    • see about Exposure Information here