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Get a FREE Auto Accident Case Evaluation From a Local Lawyer
Step 2
Is an attorney already helping you with your claim?
Yes
No
Step 3
What caused your Injury?
-- Select Answer --
Assault/Battery or Sexual Abuse
Birth Injury
Construction Accident
Dangerous Product
Dog Bites/Animal Attacks
Product Defect
Product Liability
Slip and Fall
Step 4
What is the primary type of injury?
-- Select Answer --
Back or neck pain
Broken bones
Cuts and bruises
Headaches
Memory Loss
Loss of Limb
Other (Physical Injury)
Step 5
PI Action Taken
-- Select Answer --
No action taken
Demand for compensation made
Lawsuit filed
Other
Step 6
How long ago did the incident occur?
Step 7
Did the injury require hospitalization, medical treatment, surgery or cause you to miss work?
Yes
No
Step 8
Briefly describe your case
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