Records Deposition Service, Inc.
   
   
Date: 09/21/2018    
  Records Deposition Service Client Center
Home | Logout  


 
On-Line Request Form


* RecDep Office:
Trial Date: (MM/DD/YYYY)
 
 Name On Record Information

* Name on Record:
Address:
City, State Zip:
Date of Birth: (MM/DD/YYYY)
SSN:
Accident Date: (MM/DD/YYYY)
 
 Case Information

* Court:
Case Name:
Case Number:
Defendant(s) Full Name:
 
 Requesting Attorney Information - Completion of this section will serve as authorization to sign Subpoena/Notice and serve Subpoena

* Attorney:
* Attorney Type:
Full Name of Party Represented:
* Firm:
* Address:
* City, State Zip:
* Phone:
Fax:
* Email Address:
(Confirmation of this order will be sent to this address. Separate multiple addresses with a space)
Policy Holder and/or Claimant Name:
File Number:
Claim Number:
Media:
Type   Number of Sets
       
       
       
Comments/Special Instructions:
 
 Bill To Information - Complete only if 3rd party is to be billed (Insurance Company Only!)

Bill To:
Adjuster:
Address:
City, State Zip:
Phone:
 
Media:
Type   Number of Sets
       
       
       


 

 

 
 Questions? Call Records Deposition Service at (248) 357-3330 in Michigan or (312) 553-8900 in Illinois