Client Information Checklist

To assist in the prosecution or evaluation of your claim, please provide the following information or documents:

Police Accident Report	No Fault Application
Auto Insurance Policy [Yours]	Witness Information
Car Photographs	Medical Authorizations
MV-104 Report	Disability Application
Tax Returns	Medical/Hospital Records
Repair Estimate	Scene Photographs
Medical Bills	Underinsured Claim Form
Other: ________________	Other: ________________

Personal Injury Info Center

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Note: The information contained herein is for informational purposes only and is not to be considered legal advice. Only your lawyer can give you legal advice. If you have a legal question, you should consult with an experienced injury attorney as soon as possible.