For all types of Personal Injury Cases
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Your email will not create an attorney-client relationship. You acknowledge that any reliance on material in email communications is at your own risk. Items in
red must be entered before the evaluation will be submitted.
1. Who was injured? (You may select more than one)
2. What are the injuries that were sustained? (You may
select more than one)
3. Has the injured party seen a doctor of any kind since sustaining
4. Where did the injury occur?
5. In your opinion, the injury was caused by whom?
6. Does either of the parties involved have insurance?
7. Was a police report filed?