Project Intake Form Veritas Billing DetailsProjects will be billed on a monthly basis to corporate office. Project CoordinatorName*Please select your name.Mike BrunoBrenner FoxScott JonesDaryl CoxLee Anne BoggsWilliam WojcikJohn GrahamSteve McNeelyJerry MurphyElizabeth BellElaine FlynnNatalie O'ConnorConnie SnyderKimberly Nash-WilliamsGina FuscaEric SwensonRosanne SivertstolClaudia Fisher-GristOtherEmail*Please select your email address.mbruno@veritasclaims.combfox@veritasclaims.comsjones@veritasclaims.comdcox@veritasclaims.comlaboggs@veritasclaims.comwwojcik@veritasclaims.comjgraham@veritasclaims.comsmcneely#veritasclaims.comjmurphy@veritasclaims.comebell@veritasclaims.comeflynn@veritasclaims.comnoconnor@veritasclaims.comcsnyder@veritasclaims.comknashwilliams@veritasclaims.comgfusca@veritasclaims.comeswenson@veritasclaims.comrsivertstol@veritasclaims.comcgrist@veritasclaims.comOtherOther Name & Email Phone Number* Drone Project Location (Where you want the drone to be flown.)Street Address City State Postal Code* Start Window Date MM slash DD slash YYYY End Window Date MM slash DD slash YYYY Special Shot RequestsDo you have any shot requests or anything, in particular, you'd like us to capture?Is there anything you DO NOT want us to capture?Do you have any examples or documentation that could provide more detail? FileMax. file size: 50 MB.Will there be a point-of-contact (POC) on-site? No Yes If yes, please provide name and contact info for the POCFinally, is there anything else we should know that would help us successfully execute this project?Please check this box to acknowledge the submission of this form to be authorization for work to be completed by Dronegenuity and acceptance of charges related to the service as discussed with an account manager.* I accept. Δ Photo Guidelines: Veritas Photo Vendor SLA