Refer a Case

We thank you in advance for referring a case to our team!
Choose any of the options below to refer a case.
Please contact 831-425-2835 or email admin@whsllp.com with any questions.

Option 1: Secure Upload Referral

Securely upload / drag referral documents below. Once received, we will contact you.

Option 2: Email Referral

Complete our PDF File Referral Form and send it via email to admin@whsllp.com

Option 3: Mail-In Referral

File materials may also be sent to our Santa Cruz office for processing:
Witzig, Hannah, Sanders & Reagan, LLP
600 Ocean Street
Santa Cruz, CA 95060

Option 4: Secure Online Referral Form

Complete our Secure Online Referral Form and securely upload documents below.

Claims Examiner Name *

Company *

Mailing Address *

Phone Number *

Facsimile

Email *

Communication Preference - Check all that Apply

U.S. Mail
Direct Email
Corporate Email
Facsimile

Corporate Email *

Claim Number(s)

Date(s) of Injury

Body Part(s)

Employer

Employer Contact

Copy Employer Contact with Correspondence?

Injured Worker/Applicant

Address

Phone Number

Date of Birth

Date of Hire

Applicant's Attorney

Case Status

Admitted
Denied
On Delay

Denial Date

Decision Date

Hearing Scheduled

Venue

Type

Date

Time

Special Instructions

600 Ocean Street
Santa Cruz, CA 95060
P: (831) 425-2835
F: (831) 425-2839
admin@whsllp.com

Scenic photos provided by Tony Pagliaro Gallery tonypagliarogallery.com