<%@LANGUAGE="JAVASCRIPT" CODEPAGE="65001"%> Midwest Accident Reconstruction Services, L.C. | Accident Investigation

Assign A File

Assign us a file by completing the form and clicking on the
submit button at the bottom of the form. We will respond immediately. 
In the event you do not receive a prompt reply please call 660-463-7006.

Date of Crash or Incident:
Date
Time
Location
Claim or File Number
Insured/Client Name
Drivers' Names
Vehicle Model and Locations with Telephone Number if Known:
Vehicle #1
Vehicle #2
Vehicle #3
Person Assigning the File:
Name
Company
Address
City, State, Zip
Email Address
Telephone
Facsimile
Special Instructions
Please type letters at left

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