Quickstart general analysis-online     (Form to start general forensic analysis)    Please fill in all pertinent information,.including street  addresses for Adjuster, Origin and Cause Inv's, and  Insured. Evidence may have to be shipped at some  time and UPS will not deliver to a PO Box.).     *Note: Use the "Tab" key to move from one field to another. Hitting "Enter" will submit the form prematurely. Hit "Submit" button at bottom when form is filled out.     Electrical Fire Analysis Mechanical Failure Analysis Training Lightening Damage Analysis (other than pumps) Shock Injury Analysis Other - Describe in Next Box Type of Analysis     Other Type of Analysis     Date (and time) of Loss        Approx. $ Amount of Loss       Claim Number                    Item for Analysis      Age of Item(s)     Item Details        Adjuster: First Name             Last Name                                            Position                           Company                                  Street Address                                                                                    P.O. Box                                                                             City                                          State                       Zip Code              Business Phone #               Extension                             Fax #                                       E-mail Address                         Cell Phone                        Pager           Origin and Cause Specialist:             First Name                           Last Name               Position                                 Company                                       Address                                                                                                                 P.O. Box                                                                               City                                    State                 Zip Code                        Business Phone #             Extension                             Fax #                                       E-mail Address                         Cell Phone                    Pager          Insured (If tenent is not policyholder, put     policy-holder information here)              First Name                       Last Name                                                Position                                Company                                             Address                                                                                                         P.O. Box                                                                          City                                         State                   Zip Code                       Business Phone #            Extension                             Fax #                                           E-mail Address                     Cell/Pager Phone              Tenent (If tenent is not policyholder):              First Name                Last Name                                                Position                                Company                               Address                                                                                           City                                         State                   Zip Code                       Business Phone #              Extension                             Fax #                                         E-mail Address                      Cell/Pager Phone              Attorney:     First Name             Last Name                                                Position                            Firm/Company                              Address                                                                                                City                                           State                       Zip Code                           Business Phone #                 Extension                             Fax #                                           E-mail Address                       Cell/Pager Phone                        Evidence Collection:     Opposing parties that must be at scene during evidence removal:     List or indicate none:      Approval by client to collect evidence if preliminary electrical fire         causation evidence is found at the scene:    Yes, No or notes:       Approval by client to collect evidence if preliminary electrical fire          causation evidence is not found at the scene:    Yes, No or notes:       Approval by client to do exploratory disassembly (prior to          subrogation notice):    Yes, No or notes:      Approval by client to use digital pictures as primary evidence          photographs (can be time and cost savings):    Yes, No or notes:       Other details, directions, opposing parties,      other phone numbers, etc.