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Case Intake Forms

Pick Your Case Type - Answer a Few Questions - Find Out If You Have a Case

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Premises Case Intake Form

  • Step1
  • Step2
  • Step 3
  • Step4
  • Step Final


I fell because I:


I fell:

I fell on:

The area was defective because:


I have photographs of the condition:

The incident was reported to police:

After the accident, I sought medical or hospital care:


I injured my:

The injuries have caused me to:

Additional Information:

I understand that the transmission of this information does not create an attorney client relationship but is, instead, a request for a free consultation with an attorney about the details of my potential case.