Attorneys

Quality Legal Resources You Can Count On

Your current location: (0) | Change Location

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

Maurice L. Abarr
201 East Sandpointe Avenue, Suite 480
Santa Ana, CA 92707
Phone: 866-665-8312

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?

Yes
No

What are your medical bills?

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

How was the victim related to you?

When did the incident occur?

Were criminal charges filed?

Yes
No
Not Sure

Were there any witnesses?

Yes
No
Not Sure

Was there a doctor involved?

Yes
No
Not Sure

If so what were medical bills?

Please explain the circumstances

Were you injured while working?

Yes
No

What were your injuries?

Did you have a pre-existing condition?

Yes
No

Have you filed a claim?

Yes
No

If so has your claim been accepted or denied?

Accepted
Denied

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?

Yes
No

What are your medical bills?

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

What type of injury did you suffer?

Describe the incident:

Have you seen another attorney?

Yes
No

Have you had a second medical opinion?

Yes
No

eg. xxx-xxx-xxxx

Please explain your legal situation.


* Please enter the security code shown below:

Captcha Image

      

By submitting an inquiry, you agree to our Terms & Conditions.

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.

Change Your Location

Enter Your New Location:


(e.g., San Diego, CA or 92121 or 619)

Based on your IP Address, your default location is:

  • Area Code: 0
  • City:
  • State: