Car accident lawyers specializing in auto accident, truck accident and motorcycle injury accidents.

Automobile Accidents

Accident Investigation

Car Accidents

Cell Phone Accidents

Drunk Driving Accidents

Tractor Trailer Accidents

Traffic Accidents

Truck Accidents

Motor vehicle accidents are the leading cause of brain and spinal cord injury in the United States, accounting for approximately 60% of traumatic brain injury victims. Motorcycle accidents claim responsibility for about 20% of transportation-related head injuries, and brain and spinal cord injuries occur to children most often when they are passengers in motor vehicles. Current statistics reveal that fatal automobile crashes average 37,409 per year, with driver fatalities at 25,492 and passenger fatalities at 10,699. (Source: www.ntsb.gov)

Many times after one has been injured as a result of another's negligence, we fell alone, isolated, and confused. If you have been injured in a "head injury accident" and have questions about your right and obligations, or if you would like to know if you are entitled to monetary compensation, you should speak with a qualified attorney as soon as possible for a free consultation. Please fill out the form below which will be forwarded to a personal injury lawyer. That lawyer will review the form and contact you.

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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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