CLAIMS BUREAU NEW ENGLAND, INC.
PO Box 484, Merrimack, NH 03054
Jerry@CB-NE.COM

Tel. 800.342.8877   Fax  800.257.3776

CASUALTY CLAIM FIELD INVESTIGATIONS

 

     Contact Us
    
     About Us

     Services 

     Assign Case Online
     Fax Us An Assignment

     eBrochure


     Our Mission


     Rates: Please Call Us!

     Investigator Log-In

    

EMAIL ASSIGNMENT FORM

This page is under construction

*Please email Jerry@cb-ne.com directly

 

 RUSH       Needed by  

 

INVESTIGATIONS:  Auto, G.L., Comp., Liability, Subrogation

 
LOCATE  <input type="checkbox" value="YES, OBTAIN STATEMENT" color="#990033" data-cke-saved-name="STATEMENT" name="STATEMENT" font-weight:="" 700"="" tabindex="2"> STATEMENT    SCAR PHOTOS
SCENE LOCUS
   INTERROGATORIES
BAILMENT          PUBLIC RECORDS
        
OTHER
 

Other Investigation:  

        
    

 
YOUR INFORMATION

Company
Name:
Telephone & Extension
E-Mail 
 Claim Number:  
Insured's Name:  
 Date of Accident  

 

SUBJECT #1:

 
   
Name:
Address: 
City & State:
Tel. #: 
DOB: 
Lic No.:

 

 

 

SUBJECT #2  
Name:
Address
City & State
Tel. #: 
DOB
Lic No.:
   
   
 

Foreign Language

 
 

   
Subject Represented?

 

YES      No  
          ATTORNEY INFORMATION

 

 

 

ADDITIONAL INFORMATION

Please fax or email supporting documents to

Jerry@cb-ne.com or FAX us at 800.257.3776

      

 

     

Thank You
For assigning an investigation to
Claims Bureau New England, Inc.
 

We will be in touch with you shortly.  

   Jerry Mulcahy  800.342.8877

Privacy/Terms & Conditions       Contact Us     Download Assignment Sheet

copyright © 2012 Claims Bureau New England, Inc., all rights reserved.