Online Forms

Order a Transcript Subpoena Request Schedule a Deposition Video Teleconference Authorization: Disclose Health Info Request of Multiple Records Additional Providers

Online Forms: Request of Multiple Forms

We offer almost all of our forms online for your convienence.

Please note: Tackla & Associates confirms all jobs by telephone 24 hours prior to its commencement. If you do not receive a phone call from us, WE DO NOT HAVE YOUR JOB SCHEDULED. Toll Free (800) 871-0861 :: Office (216) 241-3918 Request of Multiple forms First Name Middle Last Address City State Zip Date of Birth last four of SSN Date of Incident 1. Provider Number: Records wanted (any/all) Records XRays Billing Employment Video Audio time frame: Date Start Month: Day: Year: time frame: Date End Month: Day: Year: Name of Organization Address other (please specify) Special Instructions Records Needed By Month: Day: Year: Phone Fax Number Name Email Address Address City State Zip Court Information Court Court Number Case Name Judge Plaintiff's attorney Additional Copy @ .05 per page - Is requiring attorney yes Name Email Address Address City State Zip Phone Fax Number Defendant's attorney Additional Copy @ .05 per page - Is requiring attorney yes Name Email Address Address City State Zip Phone Fax Number Co-Defendant's attorney Additional Copy @ .05 per page - Is requiring attorney yes Name Email Address Address City State Zip Phone Fax Number Additional Forms Needed Additional Copy @ .05 per page - Is requiring attorney yes Name Email Address Address City State Zip Phone Fax Number Additional Forms Needed Additional Copy @ .05 per page - Is requiring attorney yes Name Email Address Address City State Zip Phone Fax Number Please expect a call from us within 24 hours of filling out our form.