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Priority 1 Forensic Fire & Explosion Investigations
Request For Fire Investigation

*Indicates Required Fields

    Requester Information

    *Requestor

    *Company

    *Address

    *Phone

    *Email

    Send Report & Billing to

    Name

    Company

    Address

    Phone

    Email

    Incident Information

    *Date of Loss

    *Claim Number

    *Incident Location

    *Property Owner

    *Owner's Phone

    Attach files: reports, photos, other documents:

    Preferred Payment Method: *

    How would you like to proceed? *

    All invoices are due upon receipt. We do not split billing between parties, a single entity is responsible for full payment. Amounts are due and payable in Lubbock, Lubbock County, Texas. A finance charge of 1.5% per month will apply after 30 days.