San Diego Personal Injury Attorney
Maxwell Agha

Additional Questions or need further information?

Maxwell Agha
Banker's Hill Law Firm, A.P.C.
160 Thorn St.Suite 200
San Diego, CA 92103
Phone: 866-653-4672
Fax: 619-230-1726

Remember, the more information you provide, the easier it is for us to help you.

What type of injuries do you have?

Auto/Motor Vehicle Accident
Slip and fall
Dog bite
Railroad accident
Wrongful death
Hurt on the job
Other

What is the extent of your injuries?

Have you seen a doctor?

Yes
No

What are your medical bills?

Have you filed any claims?

Yes
No

Have you filed a police report?

Yes
No

Were there any witnesses?

Yes
No

Do you have insurance that covers you for this type of incident?

Yes
No
Not Sure

Do other involved parties have insurance that covers this type of incident?

Yes
No
Not sure

eg. xxx-xxx-xxxx

Please explain your legal situation.


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