Are you currently working with an attorney? *

yes

no

Did you seek medical treatment after the accident? *

yes

no

no, but I will

Were you at fault for the accident? *

yes

no

i’m not sure

Was the accident with a commercial vehicle? E.g., a semi truck/18 wheeler, taxi, or ride share?

yes

no

Were you severely injured?

yes

no

Can you please describe the accident?

Finally, what state did the accident occur in? Different states' laws may impact possible settlement.

To be able to give you the best answer and service, please fill out the following and we’ll reach out as soon as possible.

First Name *

Last Name *

Email *

Phone *

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