Table of Forms and Figures

• Author: Michael J. Morse
• Pages: 883-886

C-1

Table of Forms and Figures

Authorizations

Criminal/Arrest Records ...................................................................................................§1:110.80

Driving Record ...................................................................................................................§1:110.40

Education Record ............................................................................................................§1:110.100

Employment Records .........................................................................................................§1:110.90

Medical Records ................................................................................................................§1:110.10

Social Security Records .....................................................................................................§1:110.50

State Tax Records ..............................................................................................................§1:110.30

Tax Information (IRS Form 8821) ......................................................................................§1:110.20

Transcript of Tax Form (IRS Form 4509) ...........................................................................§1:110.20

Veterans Administration Records ......................................................................................§1:110.60

Workers’ Compensation Records .......................................................................................§1:110.70

Case Investigator Relations

Investigation Report .............................................................................................................§6:20.20

Transmittal Letter to Investigator ........................................................................................§6:20.10

Client Relations

Change of Circumstances .......................................................................................................§1:120

Fee Agreement ..........................................................................................................................§1:70

Health Care Cost Tracking .....................................................................................................§1:310

Interview .................................................................................................................................§1:100

Letter ........................................................................................................................................§1:80

Letter to Client re DME .......................................................................................................§8:610.2

Medical, Psychological and Psychiatric Expenses ...................................................................§1:320

Out-of-Pocket Damages ..........................................................................................................§1:250

Complaints

Assault Resulting in Soft Tissue and Temporomandibular Joint Syndrome ......................§1:360.50

Automobile Accident .........................................................................................................§1:360.10

Automobile Accident – Driver Not Wearing Glasses ...........................................................§1:360.22

Automobile Accident Resulting in Closed Head Injury .......................................................§1:360.20

Automobile Accident Resulting in Whiplash Injury ............................................................§1:360.21

Automobile Accident – Uninsured Motorist .......................................................................§1:360.23

Declaration of Rights & Responsibilities (ERISA) ...............................................................§ 1:213.11

Product Liability ................................................................................................................§1:360.30

Slip and Fall ......................................................................................................................§1:360.40

Slip and Fall - Defective Stairs ..........................................................................................§1:360.42

Slip and Fall - Slips on Debris in Clothing Store ...............................................................§1:360.41

Soft Tissue Injury and Loss of Consortium ........................................................................§1:360.60