Personal Injury

Online Form and Instructions

The law provides for recovery from a negligent person or company if they cause you or your property damage. The majority of personal injury litigation arises from automobile accidents. For most drivers, insurance companies pay for personal injury and property damages of their insured's. However, sometimes this area of law may require you to pursue your own insurance company for recovery under med-pay or uninsured/underinsured coverage. This area of law is very fact specific. The only way to know if you have a case is to immediately contact an attorney to understand your rights. Many insurance companies will try to settle within days of the accident. This is almost always to the determent of the injured person. Some injuries may take months to fully manifest themselves. I have represented several clients who were in accidents but did not know of lower back or neck injuries until months later. Sometimes injuries manifest during cold or damp weather, other times they may come out when you turn your body the wrong way. However, for most of the time, you will never get a dime from an insurance company until you sign a release form, which forever releases the insurance company from any unknown or future injuries that may come out of the accident. Therefore, if you sign a release days after an accident and later discover that you have a very serious condition, and then you unfortunately are out of luck.

Additionally, there are several other types of personal injury. From medical malpractice to products liability, you can be injured by a wide range of individuals or companies. If you think you have been injured due to the negligence of another party, then please contact me immediately. The Personal Injury Case form is for your convenience and will help you organize your thoughts. Please fill it out and schedule and appointment as soon as possible. Your first step to financial compensation is just a phone call away.

CLICK TO BEGIN THE PERSONAL INJURY CASE QUESTIONNAIRE OR Click HERE to fill out the "General Response Form" and I will contact you about your case.

INSTRUCTIONS:  This form spans 3 pages, required fields are marked with an (R).  At the end of the form you will have the opportunity to review and edit all of the information you provided on the form.  While working on the form, you may go back to previous pages by using the back button at the bottom of the form, however answers on the page you are currently working on when you click the back button will NOT be saved and you will need to re-enter the information, therefore I highly recommend that you complete the entire form, then review and edit your answers.  You may NOT stop part way through the form and come back to it later as your information will NOT be saved for you.  Should you click any links on the form page, the linked page will open in a new window.  Simply close that window to return to the form where you left off.  Clicking a link from the form will not cause your information to be deleted.

You will have the opportunity to schedule an appointment with me for a real-time Internet chat or phone call to discuss your case after you have completed the form.

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