Name of retaining attorneys: 

Firm name: 

E-mail: 

Firm Address: 

Phone: 

Fax: 

Case Name (both plaintiff and defendant): 

Exact Date and Time of Incident: 

Location of Incident (Address):

Exact Location of Incident (i.e. Major Intersections):

Weather Conditions and other pertinent details that contributed to the incident:

Your Deadline: 

RMS Weather Forecasting Services will be in contact with you within 24 hours.