Trial Monitor Assignment Form
To:
Jamie Maurer, Office Manager
NGH Associates, Ltd.
Phone: (516) 621-6500
Via Fax: (516) 621-7345
OR
Via Email to:
info@nghassociates.com
Adjuster Name:
Direct Phone:
Address/Location:
Fax:
Email:
Claim No.:
DOL:
Insured:
Venue/Court Loc:
Index / Docket No:
Case Caption:
Judge:
Court Room/Part:
OneBeacon Attorney:
Phone:
Trial Date:
(Jury Pick/Actual Start Date)
Phone Reports To:
Phone:
Written Reports To:
Via:
Fax
(Fax:
)
Email
(Email:
)
Address:
ADDITIONAL NOTES:
Trial Monitor Assignment Form