Non-Fraud Defendant New Matter Legal_Assistant First Name Legal_Assistant Last Name Department Fraud Legal Litigator First Name Litigator Last Name Partner First Name Partner Last Name Client Company Name Underwriter Company Name Wakam/ Wakam UK Limited / IQUW Syndicate Management Limited Policy_Holder Salutation (Mr, Mrs etc) Mr. Mrs. Ms. Mx. Dr. Miss Hon. Rev. Rabbi Rep. Sen. Master Sir Lady Policy_Holder First Name Policy_Holder Last Name Policy_Holder Date of Birth Policy_Holder Email Address Policy_Holder Phone Number 1 Policy_Holder Physical Address Line 1 Policy_Holder Physical Address Line 2 Policy_Holder Physical Address City Policy_Holder Physical Post Code Key Case Information: Date of Accident Key Case Information: Date of Instruction Key Case Information: Matter Type Please Select MOJ - Oral Hearing MOJ - Paper Hearing OIC - Liability OIC - Quantum OIC - Other Non MOJ/OIC – Liability Non MOJ/OIC – Quantum Infant Approval Interim Hearing Non-Injury Liability Non-Injury Quantum Costs Pre-Litigation Advice Other Key Case Information: Delegated Authority Please Select DA Non-DA Key Case Information: Pre-Litigated or Litigated Please Select Litigated Pre-Litigated Key Case Information: Credit Hire? Please Select Yes No Key Case Information: Policy Holder VRM M.I.: Policy Number M.I.: Client Reference M.I.: Fee Type Please Select Fixed Fee Hourly Rate M.I.: Fixed Fee Update when file opened on billing tab.
