Philadelphia, PA 19103
Phone: 215-564-1233 Toll Free: 866-571-3772
Fax: 215-564-1225
Allentown, PA 18104
Phone: 610-366-7119 Toll Free: 888-288-3998
Fax: 610-366-2137

Please fill out this form to schedule a deposition:






    Attorney Name *

    Lawfirm *

    Date of Deposition *

    Time of Deposition *

    Location *

    Case Name *

    # of Deponents *

    # of Attorneys *

    Insurance Carrier/Claim Number

    Adjuster’s Name/Address

    Notes/Claim Information/Special Services (i.e videographer, interpreter/language, ect)

    Your Email *

    Documents


    *** This scheduling form will not be submitted unless all required fields are filled out.
    You will receive a confirmation e-mail within 24 hours once your scheduling has been successfully submitted.
    If you do not receive this confirmation, then please telephone ERSA at 215-564-1233 immediately.