POLICE REPORT FORM

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DAR-LIENS, INC. POLICE REPORT FORM

PLEASE ENTER ALL OF THE INFORMATION YOU KNOW, WE DO THE REST!

Customer agrees that the liability of Dar-Liens, Inc., its agents and employees, in connection with services hereunder to the Customer and to all persons having contractual relationships with them, resulting from any acts, errors and/ or omissions, whether negligent or otherwise, of Dar-Liens, Inc., its agents and/or employees is limited to the total fees actually paid by the Customer to Dar-Liens, Inc., for those services.

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INFORMATION REQUIRED TO GET A POLICE REPORT ON YOUR PERSONAL INJURY CASE

Section 02 (copy)

By submitting this document you have authorized Dar-Liens, Inc. to obtain a police report on your behalf. There is a $20.00 charge per report. You will receive a copy of the accident report in the mail for your patient file. If there has not been a police report filed, there will be a $10.00 service fee billed to your account.

AT DAR-LIENS, CLIENT HAPPINESS IS OUR TOP PRIORITY!

Are you in need of a Certified Legal Document Preparer? If so, contact us today by calling 480-607-2290 to get started. We’re always happy to help.