Posted On: September 29, 2005, 7:33 pm CDT

Posted By: Wing Wing, State Farm Corp.

By completing the following form you can help us to better understand the number of times & ways the following insurance carrier's (State Farm, Cal-Comp, Health Net) incorrectly, unethically and illegally administer claims, and claims of the injured worker.

Your name, claim number, e-mail address (confidential information) will be sold, shared, or dispensed.

If your are injured, It may be useful to verify, authenticity of the data used to deny your injuries.

Please answere the following:
Which Basketball camp did you attend in the Summer of 1977?

Umm...

1. Portland State University
2. Oregon State University
3. Santa Clara University

Are you familiar with these similarities?

1. Qual-Tronix.
2. Qual-Med.
3. Quacks.

In which year did your have a green-stick fracture of your distal Radius & Ulna?

1. 1965.
2. 1966.
3. The year's you worked at Stickney's Restaurant.

To Establish Paternity, can you remember which of these major motels were you in or near?

1. Motel 6
2. Best Western
3. Or somewhere off highway 50, not putting words in your mouth but, say "Shingle Springs?"

Oh, Dang Me!! I'd like to follow this up tomorrow.

Waitress: Umm...I beg your pardon, I Never Promised You a Rose Garden.