KARASCH & Associates

Law Firm Information
	Name of Attorney

	First	Last	MI

	Law Firm Name
	Address

City

State

Zip Code

Person Scheduling Job

First, Last

Telephone

Job Information
	Scheduled Date	Time Schedule
	Click here if job is more than one day	Time Begin : HrMin	AM PM
Case Caption

	vs.

Select One
	Deposition	DJ What are the charges?
	Arbitration
	Playback	Other Please explain

Witness(es) Name(s) First, Last

Job Location
	Office Name
	Address

City

State

Zip Code

Contact person at Job
	First, Last	Telephone at job location

Questions
		How many Attorneys will be present?
		How many Witnesses will be present?
		In your estimation how long will the job last?


		Can job be Third Party Billed through Insurance? If answer is yes then:	Yes No

	Claim Number	Adjusters Name

	Insurance Company Name

	Address

City

State

Zip Code

Do you need a Videographer?

Yes

No

Videographer
	In what format would you like the Video to be delivered at the conclusion of the deposition?	VHS DVD Mini–DV
	Does the video need to be converted to an mpeg?	Yes	No
	Do you need the video and transcript to be VideoSynced?	Yes	No
	Do you need a Elmo Visual Presenter?	Yes	No
	For further information on any of these services please call our office at 800-621-5689 and we will be pleased to assist you.

Transcript Delivery
	When will the transcript be needed?
	Normal - 10 business days
	Rush – 5 days
	Expedited – 3 days
	Daily – 24 hours
	Hourly

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