Car Accident Attorneys and Lawyers

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Car Accident Lawyers and Attorneys: Car

If you or a loved one has been seriously injured in a car accident, you will need a lawyer to help you recover damages for your medical bills and compensation for your pain and suffering. The law limits the amount of time you have to file a claim so you should act quickly.

Please fill out all of the information requested below and we will refer your case to an attorney in our national network of counsel.

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First Name:

 Last Name:




 Zip Code:

 Phone Number (day):

 Phone Number (eve):

Email Address

Have you or somone you know been in an auto accident?:

Date of accident?
(ie . mm/dd/19yy)

 What city and state did the accident occur in?

  What were your Injuries?

What type of medical treatment was received?

Who was responsible for the accident? 

Describe your injuries and Accident.

 I understand that submitting this form does not create an attorney client relationship: Agree

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