Fraud Defendant Legal_Assistant - First Name Legal_Assistant - Last Name Department Fraud Legal Litigator - First Name Litigator - Last Name Partner - First Name Partner - Last Name Client - Name Underwriter 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 DOB 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 Staged Accident Induced Phantom LVI Exaggerated general Exaggerated injury Late notification Credit hire – exaggeration Credit hire – phantom hire Credit hire – technical Fabricated loss Policy – pre-inception loss Policy – spoofing Policy – driver not insured Policy – driver not identified (MIB) Policy – ghost brokering/fronting Policy – motor trade Policy – misrepresentation Theft Fire/flood Fraud ring Other/TBC Key Case Information: Delegated Authority Please Select DA Non-DA Key Case Information: Pre-Litigated or Litigated Please Select Litigated Pre Lit 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.
