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

Meyer, Suozzi, English & Klein, P.C.
990 Stewart Avenue, Suite 300P.O. Box 9194
Garden City, NY 11530-9194
Phone: 866-287-4506

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 exactly happened (try to state as thoroughly as possible who you believe was responsible and why you believe they were negligent)?

Is this a new case and a new injury?

Yes
No

When and where did the accident occur?

Where you hospitalized?

Yes
No

And if so, when and where?

Please explain your legal situation.


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