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Kampf Schiavone & Associates A.P.C
715 N Arrowhead Ave Suite 104
San Bernardino, CA 92401
Phone: 866-785-4021

What day and year did the accident or incident occur?

What is the dollar amount of medical expenses for your injuries, known to date, that are due to the accident or incident?

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Are you aware if the party that caused your personal injuries had auto and/or any other type of insurance coverage?

What type of injuries do you have?

Have you seen a doctor concerning your injuries?

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