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1

How did you get injured?

Please Select… Auto Accident Motorcycle Accident Boat Accident Truck Accident Other Accident On the Job

2

Estimated Medical Bills

Please Select… $1,000-5,000 $5,000-10,000 $10,000-25,000 $25,000-100,000 More than $100,000 Don't Know No Medical Bills

3

About Your Accident (click all that apply)

Hospitalization or received medical treatment

Receiving ongoing treatment

Missed Work

Underwent Surgery

Wrongful Death

None of the Above

4

Did any party involved have insurance?

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5

Are you currently represented by an attorney?

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6

Last step for your Free Injury Case Evaluation

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NEVER Deal Directly With Any Insurance Company, Let Me Help!

An accident can change your life in the blink of an eye. If you have been injured the last thing you need to deal with is an aggressive insurance company. Fill out the Free Case Evaluation, or call me directly at 1-877-524-7477. I will deal with every aspect of your injury case, and get you the money you deserve!

If you need immediate help, call 1-877-524-7477 and speak to an attorney NOW!

*Client may be liable for actual costs incurred but not fees unless we recover for you. This is a lawyer communication and advertisement from the Law Offices of J.Chrisp in accordance with CRPC Rule 1-400. This does not guarantee, warranty, or predict the outcome of your case. Each case is different. All rights reserved.