Do You Have a Case?

We have provided the following online form as a convenient, free and confidential means to help you make the right decision and determine whether you have a case. Please include as much detail as possible. We will contact you within 48 business hours after receiving your submission.
 
Should you need to speak to a legal professional immediately, call us 24/7 at 1-800-960-5551.


First Name
Last Name
Address
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Phone Number
Contact Fax
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Date of Incident
Type of Accident
How Did the Injury Happen
Describe the Injuries
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