Law Center Assistance

Find out how much $$$ your case is actually worth!

Get a FREE Claim Assessment by answering these few simple questions related to your accident below.

What kind of accident have you been involved with? *

Specify the date when the incident happened. *

Did the accident result in any injuries? *

Yes No

Was there another identifiable party at fault? *

Yes No

Are you currently represented by an attorney for this case? *

Yes No

Has your case been dropped by an attorney? *

Yes No

Do you have insurance coverage related to this accident *

Yes No

Did you go to the doctor, or have any kind of medical treatment? *

Yes No

Briefly describe what happened (optional)*

First name: *

Last name: *

Street: *

City: *

State: *

Zip: *

Email Address: *

Phone number: *

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