What Happened?

What type of incident caused your injury?

Car or motorcycle crash

18-wheeler or commercial vehicle (company truck, box truck, etc.) crash

Crash caused by drunk or intoxicated driver

Rideshare (Uber/Lyft) crash

Workplace or construction injury

Slip or Trip and fall / premises

Wrongful death of a family member

Something else

Choose the closest match.

What Happened?

When did the injury happen?

Within the last 30 days

1–6 months ago

6 months to 2 years ago

More than 2 years ago

The Injury

What level of medical treatment did the injury require or is expected to require? Be honest — this is the single strongest indicator of case value.

The Injury

How would you describe the severity of the injury today?

Already recovered, back to normal

Improving, but still affecting daily life

Serious — significantly affecting work, family, or routine

Catastrophic — permanent impairment, brain injury, paralysis, etc.

A loved one died from these injuries

The Impact

Has the injury kept you from working?

Yes — a few days or weeks

Yes — more than a month

Yes — I may not be able to return to my old job

Fault

Who was at fault?

Clearly the other party — police report agrees if there was one

The other party, but there’s some dispute

A company / business / employer was responsible

It’s genuinely unclear

I think I was partly at fault

Fault

Do any of these apply? (Check ALL that fit)

The other driver was drunk or on drugs

A commercial vehicle / 18-wheeler was involved

An employer ignored a known safety hazard

A bar or restaurant over-served the at-fault driver

The at-fault driver fled the scene

None of the above

These factors often dramatically increase case value.

Insurance

Has an insurance adjuster contacted you yet?

Not yet

Yes — but I haven’t said much

Yes — I gave a recorded statement

They’ve already offered me a settlement

There are right and wrong ways to handle these calls.

Insurance

Have you signed anything from an insurance company? Medical release forms, settlement offers, anything.

Insurance

Have you posted anything on social media since the injury?

A little — nothing about the accident

Yes — I’ve been posting normally

Yes — including about the accident or my recovery

Photos, check-ins, anything about the accident, your activities, or your recovery.

Your Situation

Roughly, what are your medical bills and lost income so far?

Your Situation

Have you talked to any other lawyers about this?

No — you’re the first

I’ve had a quick call or two

I’m already represented but unhappy

A lawyer turned my case down

Final Step

We’ll show your results on the next screen, and email you a copy for your records.
We never share your information.

First Name

Last Name

Email *

Phone *

We’re a law firm — confidentiality is our default. Your information stays with us and is never sold or shared. Submitting this form does not create an attorney-client relationship.