Online Consultation

 

Have you been injured in an accident? Fill out the following online consultation form. We will evaluate your needs and then contact you.

The submission of this information to the attorney does not create an obligation on the part of the attorney or her agents to file any documents such as pleadings, etc. within a certain time frame. In general, the State of California requires that most tort cases must be filed within 2 years of the occurrence giving rise to the claim. Please note that there are numerous exceptions to this general rule with shorter time limitations such as claims against governmental agencies. Failure to file a Complaint in Superior Court before the expiration of the applicable Statute of Limitations will forever bar your claim. Thus, we recommend that you seek legal counsel immediately regardless of when someone from this office can respond to your inquiry.

Your Name (required)

Your Email (required)

Phone Number

Who referred you?

Date of Accident

Time of Accident

Is there a police report?
YesNo

Do you have a driver's license?
YesNo

Do you have insurance?
YesNo

Who do you have insurance with?

Are you currently being treated?
YesNo

Time of treatment:

Date of treatment:

Location of treatment:

Estimated property damage:

Does the other party involved have insurance?
YesNo

Who is the other party insured by?

Were you working at the time of the accident?
YesNo

Other information