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

Law Office of Jeff Tomberg
Boynton Beach, FL.
Phone: 866-697-0635

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What are your injuries?

Have you obtained medical services for these injuries?

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Is there an incident report of record for your accident?

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Describe the manner in which the accident occurred.

Were there any witnesses to this accident?

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Have you given any written or oral statement about this accident/incident?

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