Referral Forms | Law Offices Of Parker & Irwin

Refer your file

We appear at all California WCAB locations. Let's start by quickly referring your file to our office for legal representation. Complete all or partial file information below and securely upload your file documents.

This is to simply get your file in line with our highly trained staff. We will be in touch with you shortly to complete the process and help you with your workers' compensation claim. We thank you for referring your file to our firm. We are here to help.

Full-Time File Assignment

Walk-Through Assignment

Flat Fee Services

Secure Document Upload

Electronic
Data

We use Box.com to securely receive your documents electronically. We take cyber security very seriously and only use trusted and certified sources to manage our data. Our cloud-based case management and billing application, Meruscase, enables our attorneys to have case file information at their fingertips in a secure and HIPPA-compliant manner. Our system complies with our clients’ electronic billing programs and integrates UTMBS code sets. LexisNexis CounselLink, Allegient Systems, Bottomline Technologies, Advocator System, LegalBill, and Legal Precision are examples of currently implemented programs.

Secure Document Upload

Full-Time Legal
Referral Transmittal Form

We serve all California WCAB locations.

Please provide some or all the below details regarding your case to help us better serve you. We also offer a Secure Document Upload feature to electronically submit your case documents.

We thank you for referring your file to our firm,

we are here to help.

Hearing Details (Venue and Type)

Hearing Date (if applicable)

Hearing Time (if applicable)

Choose a time

First Name

Last Name

Phone and E-Mail

Type of Referral

Full Time

Other

Date of Injury

I agree to the terms & conditions. By clicking the above "Submit" button, I acknowledge this is general information I am providing to the Law Offices of Parker & Irwin. I recognize this form does NOT create a binding relationship between the above parties and Parker & Irwin. Case referrals are only to be made by a workers' compensation insurance adjuster, third-party administrator, and or permissibly self-insured employer for a California defense workers' compensation or subrogation case. Before Parker & Irwin undertakes any legal representation in defending a workers' compensation claim or subrogation case it MUST be confirmed in writing by one of the attorneys listed in our firm. If you do not receive a response or confirmation, please feel free to contact our office for status. Any team member can assist you. This website is not intended to be advertising or solicitation in any State which prohibits the same. Communications made through the above shall not constitute a legal notice or obligation to Parker & Irwin representatives or lawyers. This includes, but is not limited to discovery and/or where notice or obligation to Parker & Irwin is by contract, federal, state, courts, local laws, rules or regulations. Your use of this form constitues your agreement to these terms. We sincerely appreciate your legal referral and look forward to working with you. You may contact us at any time at (800) 743-4425 with any questions you may have. Otherwise, you shall receive communication from us shortly regarding your submission.

Thank you for submitting your full-time file. We will be in touch shortly.

Walk-Through Assignment

We serve all California WCAB locations.

Please provide some or all the below details regarding your case to help us better serve you. We also offer a Secure Document Upload feature to electronically submit your case documents.

We thank you for referring your file to our firm,

we are here to help.

First Name

Last Name

Date Of Injury

Adjuster's Name

Date Received

Date Opened

I agree to the terms & conditions. By clicking the above "Submit" button, I acknowledge this is general information I am providing to the Law Offices of Parker & Irwin. I recognize this form does NOT create a binding relationship between the above parties and Parker & Irwin. Case referrals are only to be made by a workers' compensation insurance adjuster, third-party administrator, and or permissibly self-insured employer for a California defense workers' compensation or subrogation case. Before Parker & Irwin undertakes any legal representation in defending a workers' compensation claim or subrogation case it MUST be confirmed in writing by one of the attorneys listed in our firm. If you do not receive a response or confirmation, please feel free to contact our office for status. Any team member can assist you. This website is not intended to be advertising or solicitation in any State which prohibits the same. Communications made through the above shall not constitute a legal notice or obligation to Parker & Irwin representatives or lawyers. This includes, but is not limited to discovery and/or where notice or obligation to Parker & Irwin is by contract, federal, state, courts, local laws, rules or regulations. Your use of this form constitues your agreement to these terms. We sincerely appreciate your legal referral and look forward to working with you. You may contact us at any time at (800) 743-4425 with any questions you may have. Otherwise, you shall receive communication from us shortly regarding your submission.

Thank you for submitting your Walk-Through Assignment.

We will be in touch shortly.

Flat Fee Service Schedule

We serve all California WCAB locations.

Please provide some or all the below details regarding your case to help us better serve you. We also offer a Secure Document Upload feature to electronically submit your case documents.

We thank you for referring your file to our firm,

we are here to help.

In-person flat fee services are offered in

Southern California only.

I am requesting the following flat fee service:

Deposition of Applicant

Cross-Examination of Physician

Appearance at Mandatory Settlement Conference or Status Conference

Date of Injury

Adjuster's Name

Date Received

I agree to the terms & conditions. By clicking the above "Submit" button, I acknowledge this is general information I am providing to the Law Offices of Parker & Irwin. I recognize this form does NOT create a binding relationship between the above parties and Parker & Irwin. Case referrals are only to be made by a workers' compensation insurance adjuster, third-party administrator, and or permissibly self-insured employer for a California defense workers' compensation or subrogation case. Before Parker & Irwin undertakes any legal representation in defending a workers' compensation claim or subrogation case it MUST be confirmed in writing by one of the attorneys listed in our firm. If you do not receive a response or confirmation, please feel free to contact our office for status. Any team member can assist you. This website is not intended to be advertising or solicitation in any State which prohibits the same. Communications made through the above shall not constitute a legal notice or obligation to Parker & Irwin representatives or lawyers. This includes, but is not limited to discovery and/or where notice or obligation to Parker & Irwin is by contract, federal, state, courts, local laws, rules or regulations. Your use of this form constitues your agreement to these terms. We sincerely appreciate your legal referral and look forward to working with you. You may contact us at any time at (800) 743-4425 with any questions you may have. Otherwise, you shall receive communication from us shortly regarding your submission.

Thank you for submitting your Flat Fee Assignment. We will be in touch shortly.

Refer your file

Electronic Data

Full-Time Legal Referral Transmittal Form

Walk-Through Assignment

Flat Fee Service Schedule

Electronic
Data

Full-Time Legal
Referral Transmittal Form