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Automobile Accidents

According to the NTSB there were over 6,000,000 automobile accidents reported in 2003. More than 3,150,000 people were injured in those accidents and over 41,000 people lost their lives.

Many people involved in serious car accidents sustain head injuries and/or lose consciousness. Although not immediately evident, such injuries can be very dangerous and even life threatening. Symptoms from injuries such as these may take days or even weeks to surface. If you or a loved one has been involved in an accident and hit your head or lost consciousness, medical attention should be sought immediately.

You should also contact an attorney immediately. There are certain pieces of evidence and information that need to be secured in order to ensure a successful claim.

For a free, no obligation evaluation of your claim, please complete the consultation form below. An attorney will review your information according to this sites terms and conditions and may contact you to discuss your claim.

Free Automobile 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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I understand that by filling out this free consultation form I am not forming an attorney client relationship. I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I understand that not all submissions may receive a response.
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I agree that the above does not constitute a request for legal advice. I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. I agree that if this matter requires advice regarding my home state, local counsel may be contacted for referral of this matter. I understand that email is not secure and thus I am not forming a confidential relationship.
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Back Injuries
Brain Damage
Brain Injuries
Broken Bones
Broken Ribs
Closed Head Injuries
Head Injuries
Legal Links
Nerve Damage
Paralysis
Paraplegic
Quadriplegics
Scarring Injuries
Skull Fractures
Spinal Cord Injuries
Spine Injuries
TBI

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