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1
Case Information
2
Declaration
3
Upload Files
Step 1: Case Information
Enter your work order number and case number to locate your case.
Work Order Number
*
–
Case Number
*
Who Do You Represent
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Claims Admin Attorney
Claims Administrator
Employer Attorney
Injured Worker Attorney
PurusCopy Customer
Records Custodian
ROI Company
Witness/Deponent
Declaration of Custodian of Records
*
CONTINUE TO DECLARATION
Fill out the Declaration of Custodian of Records form
DECLARATION WITHIN FILE, CONTINUE TO FILE UPLOAD
Your declaration is already included in the files you will upload
DECLINE DECLARATION, CONTINUE TO FILE UPLOAD
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