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Technical Assistance Bureau

Consultant and Expert Witness Registry

Scientists, Engineers, Physicians who would like to serve as consultants and expert witnesses in affiliation with Technical Assistance Bureau should complete this form, save it on their computer hard drive and then send it as an email attachment, or print it and send it by fax or US mail to TAB along with a copy of your detailed resume and fee schedule for consulting time, travel, deposition and trial appearance. (SEE BELOW)

Name________________________________________________________

Address______________________________________________________

_____________________________________________________________

Telephone Number______________________________________________

Fax Number____________________________________________________

Email Address___________________________________________________

What is/are your field(s) of expertise?_______________________________________________________

_______________________________________________________________

Are you willing to serve as an expert witness for both plaintiffs and

defendants? Yes_____No____

What is the extent of your experience in legal consulting work?______________

_______________________________________________________________

Have you ever testified live at a trial or in a deposition? _____If so, provide details:__________________________________________________________

_______________________________________________________________

Please submit this form along with a copy of your complete and current resume and fee schedule for consulting time, travel time, deposition and trial appearance.

Via Email to headquarters@tabexperts.com

Via Fax transmission to 800-701-4638

Via US postal mail to Technical Assistance Bureau
11469 Olive Blvd, Suite 108
St. Louis, MO 63141

If you have questions, call us 1t 800-260-8174