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Law Offices of Elliot Schlissel
479 Merrick Rd
Brooklyn / Queens, NY 11563
Phone: 866-785-3419

What type of injuries do you have?

Auto/Motor Vehicle Accident
Slip and fall
Dog bite
Railroad accident
Wrongful death
Hurt on the job
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?

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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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