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

Estey Bomberger
Michael Bomberger
2869 India Street
San Diego, CA 92103
Phone: 866-744-5704

What type of injuries do you have?

Auto/Motor Vehicle Accident
Slip and Fall
Motorcycle Accident
Pedestrian Accident
Bicycle Accident
Wrongful Death
Defective Products
Other

What is the extent of your injuries?

Have you seen a doctor?

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No

What are your medical bills?

Have you filed any claims?

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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

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