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Referral Order
Records Intake Form
Tell us the case type first — the form adjusts to it. Workers' comp opens up multiple
claim rows and routes billing to the carrier; other matters keep it simple.
Order Summary
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This form is for one-off orders.
It is a convenience for firms placing an occasional request — it is not our order platform.
Established clients get direct access, saved requestor profiles, order history and status tracking
through the client portal.
Directory suggestions come from the California DWC EAMS public
directories and are provided for convenience only — confirm any address before service.
