Attorneys

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

Ernest Buongiorno of Zelman & Buongiorno

18425 Burbank Blvd., Suite 600

Tarzana, CA 91356

Phone: 866-368-3744

Date of injury:

Employer’s name:

Part of body injured:

Were there any prior injuries or problems to the same or similar body parts injured?

Yes
No

When the injury was reported to the employer?

Have you been to see a doctor yet?

Yes
No

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