Attorneys

Quality Legal Resources You Can Count On

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

Larry Curtis, A Professional Corporation

300 Rue Beauregard, Building “C”

Lafayette, LA 70508

Phone: 866-698-5148

When did your accident happen?

Where did your accident happen?(on water)

Jack-up driiling
Semi-submersible
Drill Ship
Crewboat, Work boat, Etc
Construction Barge
Lift Boat
Dredge
Boat on a permanent platform
Other

Where did your accident happen?(on land)

Drilling rig
Working on railroad
Railroad crossing
Car crash-Autos
Car crash-Big Truck
Other

What injuries did you suffer?(select all that apply)

Head
Brain
Neck
Sshoulde
Arm
Hand
Mid-back
Low back
Spinal cord
Leg
Hip
Knee
Ankle
Foot
Burns
Other

What medical treatment have you received?

Hospital
Doctor
Other

Is your accident work related?

Yes
No

Please describe what happened:

Best time to contact you?

Morning
Afternoon
Evening

eg. xxx-xxx-xxxx

Please explain your legal situation.

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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.