WESTERN FIRE FORENSICS
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Structure Fire Assignment Form
Your Details:
Your Name
Your Company Name
Your Direct Phone Number
Your Direct Email Address
Your Location (city)
Your Claim Number
Your File Number (if different from Claim Number)
Date of Loss
Is there Security on Scene?
Yes
No
Insured's Details:
Name(s) of Insured
Insured's Phone Numbers
Location of Loss (address)
Details of Loss
Other Information:
Fire Department Investigator (Name, Phone, File Number)
Police Investigator (Name, Phone, File Number)
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