Claim Information [MV]
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
- ContactID
- CoCounselFirmID
- CoCounselAttorneyID
- 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
- AssertPacorIntent
- Yes or No. Indicate a Firm's intention to file a Pacor claim when filing a MV claim
- Exposure Information
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