Florida Auto Accidents Free Case Review

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First Name

Last Name

Number, Street & Apt.

City

State

Zip

Email

Day Phone

Night Phone

Please provide a brief personal background of the person needing assistance. Many times we are contacted by someone other than the person in need of help, such as a parent on behalf of a child, or wife on behalf of a husband. Please provide the following information on behalf of person who needs assistance.

The following information is for myself:   Yes   No

If "No" my relationship to the following person is:

First Name

Last Name

Age

Occupation

For how long

Current or last employed

City and State where last employed

Highest grade completed

Schools/College attended

Degrees

Year degree granted

Special training or experience in

Why Do You Need Help? Please provide us with a very brief overview, in 200 words or less, describing in general the subject matter of your request. You can provide more detailed information below, but for now please confine yourself to providing us with a brief statement of the general facts of your case, injury and damages.

State the date you were injured or when you first learned that you had been damaged?

What occured?

Where did it happen? Please type in the City, County and State where it happened:
City
State
County

Who caused the harm? Please type in the names & addresses of all the wrongdoers involved:

What damages were suffered? Describe the damage you have suffered:

Describe the injuries. If you know, state whether the injury is permanent. If you know, what are the total medical bills to date?

Have there been lost earnings? How much?

Was the injured party married at the time?

Has anyone already filed a suit?  Yes   No

Are there any other question you wish answered?

When is the best time to reach you by telephone?

When the information you have provided is complete, please press the Submit button below to send it to Anise & Anise, Attorneys At Law. Your information will be kept strictly confidential.