Request Records | Minute Man ClientConnect

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Accessed From: 18-97-9-171.crawl.commoncrawl.org

Welcome!

Please Note: If you are requesting records and the discovery cut off date is less than 5 days away, please contact us at (248) 585-6300 to have your request expedited.

Thank you for using the Minute Man Services Online Record Request Form.

Please note that you don't need a ClientConnect account to submit a record request. For more information on ClientConnect, Click Here

Before you continue, please have the following information ready:

Last Name, First Name, Date of Birth and S.S.N. of the person you wish to request records on.
Your case caption. (You can upload this to us if you already have the document on your computer.)
As much information about the deponents you are requesting records from as possible.

If you have any questions, please contact us at (248) 585-6300.

Go to Step 1: Name on Record

1: Name on Record

Please enter as much information about the Name on Record as possible. If you only have a partial SSN, use x's to fill the blanks.

Choose Name On Record Type:

Last Name:
First Name:
Middle Name:
Suffix:

FKA/AKA/Maiden:

S.S.N.:
D.O.B.:
Date of Accident:

Is A Minor:
Is Deceased:
Has Guardian/Conservator:

Address:
Address Line 2:
City:
State:
ZIP:
Goto Step 2: Case Caption

2: Case Caption

You can type in your case information here, upload a document with case information, or have us copy the information from your most recent request.

Entry Method: Enter Case Caption Here
Upload Case Caption Document
Copy from Previous Request

Goto Step 3: Deponents

3: Deponents

If you have a document containing your list of deponents and/or signed authorizations, you can upload it using the Choose File button below.

Choose Deponent File

Please enter as much information about each deponent as possible.

Type:
Deponent Name:
Address:
Address Line 2:
City:
State:
ZIP:
Phone:
Include Billing Records:

Include Radiology Images:

Special Instructions:
Upload Authorization:

Final Step: Options

4: Final Options

Record Delivery Format

Choose "Default Preference" if you already have a format preference established with us.

Record Format:

Billing

Your File #:

Bill To Me/My Firm Bill To 3rd Party

Name:
Firm/Office:
Claim #:
Address:
Address Line 2:
City:
State:
ZIP:
Phone:
Email:
Send a Copy to 3rd Party:

My Information

My Name:
My Email Address:
CC Email Address:

Rush Processing:

Any Other Notes: