Legal Forms.
Before the paperwork becomes the issue.
Know Dennis.
Before the paperwork becomes the issue.
10
Documents
03
Audiences
NJ
Jurisdiction
Index
Contents
- 01For Clients05 Files
- 02For Prospective Clients03 Files
- 03For Attorneys02 Files
Chapter 01
For Clients
5 documents, confidentially served.
- II
ISO ClaimSearch Form
Authorization for ISO ClaimSearch to retrieve a complete history of prior insurance claims — critical for establishing damages.
File · IIPDF02 pp.AvailableDownload - III
HIPAA Authorization
Authorizes release of protected health information to our office in connection with your personal injury claim.
File · IIIPDF03 pp.By RequestRequest → - IV
HIPAA Authorization for Defense
Limited HIPAA release for defense counsel to obtain medical records relevant to the matter in litigation.
File · IVPDF02 pp.By RequestRequest → - V
Employment Records Authorization
Authorizes release of employment, payroll, and personnel records to substantiate lost wages and earning capacity.
File · VPDF02 pp.By RequestRequest → - VI
Medicare POR & CTR
Proof of Representation and Consent to Release for Medicare conditional payment recovery and lien resolution.
File · VIPDF03 pp.By RequestRequest →
Chapter 02
For Prospective Clients
3 documents, confidentially served.
- I
NJ Motor Vehicle Crash Report Template
Step-by-step template for documenting a New Jersey motor vehicle collision at the scene — drivers, witnesses, vehicles, conditions.
File · IPDF04 pp.AvailableDownload - VII
New Client Intake
Initial intake covering incident details, injuries, treating providers, insurance, and witness information.
File · VIIPDF06 pp.By RequestRequest → - VIII
Property Damage Release
Discrete property damage release that preserves bodily injury claims — frequently overlooked by carriers.
File · VIIIPDF01 pp.By RequestRequest →
Chapter 03
For Attorneys
2 documents, confidentially served.
- IX
Attorney Referral Agreement
Standard New Jersey referral fee agreement for co-counsel arrangements consistent with RPC 1.5(e).
File · IXPDF03 pp.By RequestRequest → - X
Letter of Representation Template
Template letter of representation for notifying carriers and adjusters upon retention.
File · XPDF01 pp.By RequestRequest →
“
When the trucking company's lawyers showed up with three suits and a stack of files, I almost walked out. Dennis stood up and said, “Sit down. We have a lot to discuss.” That's the moment I knew we were going to be okay.
Confidential
Middlesex County · 2025
End of Repository
If the form
isn't here — ask.
The repository grows with the practice. Many documents are produced matter-by-matter. If you need a specific authorization, intake, or referral instrument — it will be sent directly.
Request a Document →A Dennis Shlionsky Production