What type of accident were you involved in?

Select which kind of accident you were involved in. (Select all that apply)

How long ago was the accident?

Please give us a rough idea when the accident occured.

Is there a police report?

Recall if a report was produced about the incident by police.

What kind of injuries did you sustain?

Please select all that apply.

Tell us about your treatment.

Select only those that apply to your accident.

Select the statement that best describes how your injury has affected your work (including housework).

Whichever answer is closest to describing your experience.

Settlement Contact by Insurance Company

This can be your own insurance or another.

YES - An Injury Lawyer may be right for you!