Injury
Whether you or a loved one was hurt in the incident.
Share a few basic details about what happened, your injuries, and your medical treatment. The evaluation takes about a minute to complete.
The form asks for your contact information and a few facts that help the team understand the general shape of your situation.
Submitting this form does not create an attorney-client relationship. The information provided is used to evaluate your potential claim.
The evaluation focuses on general information that may help the team understand whether a conversation about your situation would be useful.
Whether you or a loved one was hurt in the incident.
Whether you received care and whether treatment has continued.
Whether another person may have been at least partially responsible.
How recently the incident occurred and where it happened.
Yes. There is no charge to complete and submit the evaluation.
No. Submitting the form does not create an attorney-client relationship.
No. The form is an initial screening tool and is not a guarantee of representation or a particular result.
Get a clearer understanding of the next step in a free consultation, with no attorney fee unless LJB wins.
Request your FREE Consultation