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

Stephen M. Reck
PO Box 431
North Stonington, CT 06359
Phone: 866-742-2989

What type of injuries do you have?

Auto/Motor Vehicle Accident
Wrongful death
Medical Malpractice
Slip and fall
Dog bite
Hurt on the job
Other

Describe how the accident or injury occurred?

What is the extent of your injuries?

What was the date of your injury or accident?

Have you seen a doctor?

Yes
No

Have you filed any claims?

Yes
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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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.

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