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Fax / Mail Form

If you prefer to send us the details of your case via fax or postal mail, we will be pleased to contact you once we receive your submission. For fastest results, follow the procedure below.

  1. Download and print our case submission form using the link below:

    Download Fax/Mail Form> (.pdf version)
    A .pdf reader is required to open .pdf files. If you do not have a reader, you can download free software from Abode. Click Here for Free Adobe .pdf Reader

  2. Complete the form to the best of your ability.

  3. Fax the completed form to our Intake Department at (909) 974-2121. Or, mail the form to DarrasLaw
    3257 East Guasti Road, Suite 300, Ontario, California 91761    .

  4. You will be contacted as soon as we receive your submission.

You can also reach our firm’s public relations contact, Robin McDavid PR at 800-880-9991 or e-mail Robin at: robin@mcdavidpr.com.

 

Contact Information

Let DarrasLaw help you today

Our experienced team will provide you with free claim strategy, guidance, solutions and the emotional penicillin to get you through this difficult and complicated process.

For immediate help, call us toll free at 800-458-4577

DarrasLaw
3257 E. Guasti Road
Suite 300
Ontario, CA 91761
Phone: 909-390-3770
Fax: 909-974-2121

Email: info@darraslaw.com

Media Inquiries please call Robin Nolan toll free at 800-880-9991 or at 650-279-9512

Email: media@darraslaw.com or interviewrequests@darraslaw.com

McDavid Public Relations
One Floretta Place
Suite 80-475
Raleigh, NC 27623
Phone: 919-848-4790
Fax: 919-848-4941

Email: robin@mcdavidpr.com

 

DO I HAVE A CASE?

Email Submission Form

Please fill out as completely as possible. You will be contacted via email or phone as soon as we have reviewed your submission.


Your Name
Your Email Address
Address
City
State
Zip
Phone
Which insurance company issued your policy?
What type of insurance does your matter concern?
Who is the policy holder?
What is the amount of your claim?
I have submitted my claim to my insurance
company.

My claim has been denied in writing by the
insurance company.

I have contacted the Department of Insurance.

A lawsuit has regarding my claim has been filed.

If your matter is not insurance related, or if
you would like to make additional comments,
please do so here:
How did you hear about our firm?
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