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
Smoking Information
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