C&M Fire Investigation
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NEW ASSIGNMENT
30 Years Worldwide
Since 1978, C&M Fire Investigations has conducted thousands of fire or explosion investigations nationally    and in foreign countries. Attorneys, insurance professionals, and public utilities routinely contract C&M as consultants in the areas of fire and explosion investigation.
P.O. Box 77488 Corona, CA 92877
Tel. (800) 698-6401
Fax (951) 279-6825
New Assignment
Please fill out this form as completely as possible. This form is not a retainer nor does it obligate C&M Fire Investigations to accept the assignment submitted. You will receive an email confirmation upon our acceptance of the assignment
YOUR Company & Contact Information:
Your Name
Organization
Your affiliation
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Business Phone
Other Phone
FAX
E-mail
Claim Number: 
Policy Number:
Insurance Company / Retaining Entity
If Company is not listed, enter it here
Insured's information:
Name
Home Phone
Work Phone
Cell Phone
Loss Address
Address (cont.)
City
State/Province
Zip/Postal Code
This property is
Tennant Information
 Name
Home Phone
Work Phone
Cell Phone
Loss Information:
Date of Loss:
mm/dd/yy
Approx. Time of Loss:
Type of Loss:
Contact person to gain access:
Additional Notes
Once we complete our Fire Investigation a full report will be emailed to you.