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Traffic Accidents

Traffic accidents occur each day throughout the country. While many traffic accidents simply result in a property damage claim, major traffic accidents result in death or serious injury. Many traffic accident injury victims are overwhelmed by the avalanche of telephone calls, insurance forms, accident reports, medical bills and paperwork received in the immediate aftermath of a serious traffic accident. Additionally accident victims may not be in the proper frame of mind to deal with inquiries from insurance companies. Traffic accident or accident victims in general should be aware that as they are still recovering from their injuries, the liable parties have already notified their insurance company of the accident. Every insurance company has a team of adjusters, investigators and attorneys whose primary responsibility is to limit the liability of the insurance company and minimize the amount of money to be paid to injured parties.

For a free review of your claim, completely fill out the form provided below.

Free Traffic Accidents Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Accident / Injury Information:

Date of Accident:	*
Time of Accident:
City where accident occured:	*
State where accident occured:	*

Estimated medical expenses (bills) to date:

Approximate money lost due to injury:
Did you go to the doctor?	Yes No
Did you go to the hospital?	Yes No

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
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understanding the facts of your case?

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