Legal Professionals: Get Listed!

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

Mularski, Bonham, Dittmer & Phillips, LLC
107 W Johnstown Rd.
Gahanna, OH 43230
Phone: 614-300-7450

What date did the injury occur?

What happened?

What type of injury(ies) do you have?

Did the injury occur at work?

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No

Do you have health insurance?

Yes
No

Have you seen a doctor?

Yes
No

What are your medical bills?

Have you filed any claims with an insurance company?

Yes
No

Have you or anyone else filed a police report?

Yes
No
Not sure

Do you already have an attorney?

Yes
No

Do you or other involved parties have auto or any other liability insurance that covers you for this type of incident?

Yes
No

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