Attorneys

Quality Legal Resources You Can Count On

By submitting the form below, your inquiry will be emailed directly to:

West & Smith, L.L.P.
Southern Pines, NC.
Phone: 910-693-3411

* Denotes required field

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?

Briefly describe the treatment you have received.

Describe the incident which resulted in your injuries?

Have you filed any claims?

Yes
No

Have you filed a police report?

Yes
No

Were there any witnesses?

Yes
No

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

Yes
No
Not sure

When and where did this incident occur?

Who are the possible at-fault persons and/or companies?


* Please enter the security code shown below:


By submitting an inquiry, you agree to our Terms & Conditions.

The information contained in this web site is intended to convey general information. It should not be construed as legal advice or opinion. It is not an offer to represent you, nor is it intended to create an attorney-client relationship.