Melissa Baldwin
Los Angeles Office
24265 Juanita Drive
Laguna Niguel, CA 92677
Office: 949-600-5441
Toll Free: 866-456-0663
Fax: 949-600-5445
Web: www.mbsettlements.com
Email: Melissa Baldwin


Las Vegas Office
62 Dow Jones Street, Suite 3
Henderson, Nevada 89074
Toll-Free: 866-456-0663
Email: Melissa Baldwin
Referring Contact: (* = Required)





Date of Loss:


Defense Counsel:




Claimant:

Sex:

DOB:

State of Loss/Venue:

LiabilityWCNon-Qualified
Plaintiff's Counsel:




I would like structured settlement proposals developed with a total cost of: $, Please include a total annuity purchase of: $, and total cash, including all fees and liens, of: $.

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