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Accident Quiz
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What type of accident were you or a loved one injured in?
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Select
Auto Accident
Other Accident
Who caused the accident?
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I did
Someone else
Were you injured in the accident?
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No
Yes
When did the accident happen?
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Do you already have a lawyer representing your case?
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Yes
No
Please describe the incident
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In which state do you live in?
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Email where we can send you information about your claim
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Almost done. What is your name?
First Name*
Last Name
What’s a good phone number to reach you?
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