File Referrals (2022)

Are you sending us updated documents for an existing matter that a Reinisch Wilson Weier PC attorney already represents? Click here.

Required for new file referrals – BEFORE YOU UPLOAD:

Please note that merely sending the claim file to one of our lawyers or staff members does not create an attorney-client relationship. Such a relationship will exist only once it is confirmed in writing between Reinisch Wilson Weier PC and you or your company. Reinisch Wilson Weier PC does not represent your employer/client until we have received this completed Referral Form, have satisfied our conflict check and confirmed representation in writing with you.

Thank you for helping us to be more efficient and to meet your important deadlines so we can help resolve this matter sooner.

THE FILE REFERRAL FORM HAS CHANGED:
You can tab through the deadlines section

2022 Streamlined File Referral Form

Claim Matter Jurisdiction *

Worker's Claim Number *

Worker's Full Name *

Worker's Date of Injury *

Worker's Social Security Number *

Worker's Date of Birth *

Is the Worker represented? *

Name of Worker's Attorney

Worker's Employer Name *

Employer's Insurance Carrier or Underwriter (NOT TPA!) *

Which billing/litigation guidelines apply?

eBiller (if known)

Washington SIF2/DLI Number *

Is this file in litigation in Washington? *

Washington Docket Number

Is this file in litigation in Oregon? *

WC Board Number *

Hearing Date *

UPCOMING DEADLINES AND DUE DATES -- VERY IMPORTANT!

Is there an upcoming Protest/Appeal (e.g. "Notice of Closure")?

Protest/Appeal Type (e.g. "Notice of Closure") and Due Date -- or N/A

Are any IMEs already scheduled?

Upcoming IME: Doctor's Name and Exam Date -- or N/A *

Has a Mediation Conference been scheduled?

DATE of Mediation Conference *

Is Discovery due to Worker's Attorney?

DATE Discovery is due to Worker's Attorney *

Is a Appellate Review Unit (ARU) response due?

DATE Appellate Review Unit (ARU) Response IS Due *

Is a Medical Response Unit (MRU)/Medical Review Team (MRT) due?

DATE MRU / MRT Response is due *

Is there an additional pending claim for this injured worker?

PLEASE PROVIDE YOUR CONTACT INFORMATION!

Your First and Last Name *

Your Company *

Your Email *

Reinisch Wilson Weier attorney preference *

Anything else we should know?

When you press submit, you will be taken directly to a NEW file upload site. Upload all files, regardless of state, to this site.

For any physically submitted files, please

CLICK HERE FOR OREGON Save the pdf form to your hard drive before completing.

CLICK HERE FOR WASHINGTON Save the pdf form to your hard drive before completing.

Complete, print and and attach the form to any physical matters delivered to our office.

Save the pdf form to your hard drive first.

Issues or questions, please contact Scott Wolff directly at 503-452-7266 or email at scottw@rwwcomplaw.com

Neither the website, the submission of information by this form nor the upload of any document creates an attorney-client relationship. Reinisch Wilson Weier PC has endeavored to comply with all legal and ethical requirements to develop this website.