ASSIGNMENT SHEET You may either fill out this form online and press "Send" or print it from your browser, fill out, then fax to (303) 623-5607. Date : (dd/mm/yy) Name : Address : City : State : Zip : E-mail : Contact Person : Phone : Fax : Client File Number : Nature of Case: Subject name : Address : City : State : Zip : E-mail : Telephone : Date of Birth : Employment address/phone : City : Employment State: Zip : Employment Telephone : Known Vehicles/plates : Other Vehicles : To Do Statements: (recorded, written, summary only) Subject Witnesses Adverse party(ies) Ambulance/EMT's Fire Department Coroner Other Public Ofcl Police Officer(s): Reports Police Rpt Fire Dept. Rpt Coroner Rpt Other Photographs Police Other Photos To be Photographed Scene : Vehicle/client : Vehicle/adverse : Other evidence : Locate witness/other person : DL # and State : SS# : Computer searches DMV SS# Court/CO Court/Other Phone Unlisted Real Prop Bank Surname Forward CBI Other Additional : Financial Arrangements Budget approved by client : Payment guaranteed by : Retainer received : Billing rate if other than standard : Bill to: