Western Engineering
  Practice Areas Engineers Request an Investigation

Request an Investigation

WERC often receives multiple contacts for the same project. In the event that we have already been retained in this matter, please provide only information generally known to all. You only need complete the relevant fields below.

Printable Form

Claim Number:

Crush Measurement

Date of Claim:

Engineer (if known):

Type of Case:

Insured:

Claimant:

Policy Number:

Date of Loss:

Type of Part:

Manufacturer:

Describe Claim:

Loss Location:

How may we contact you? Please complete any fields that apply.

Your Name:

Insurance Company:

Address:

City:

State:

Zip:

Phone:

Fax:

Mobile:

E-mail:


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Western Engineering & Research Corporation
2175 South Jasmine Street, Suite 119
Denver, Colorado 80222
p. 303-757-4000
f. 303-757-4222