Tell Us About Your Accident | Fielding Law Group

What Type of Accident Were You Involved in?

How were you hurt?(Required)

How long ago was the accident?*

How long ago was the accident?(Required)

Was the accident your fault?*

Was the accident your fault?(Required)

No, it was not my fault

Yes, it was my fault

Did the police arrive?*

Did the police arrive?(Required)

Yes

No

I don't know

How were you injured?*

How were you injured?(Required)

Fatality or Wrongful Death

Severe Injury: Dismemberment, Broken Bones, Fractures, Body Organ Injury, Concussion

Moderate Injury: Soft Tissue Neck and Back Pain or Whiplash

No Physical Injuries

Are you currently represented by an attorney for this accident?*

Are you currently represented by an attorney for this accident?(Required)

No, I do not have an attorney

I have an attorney but I'm looking for someone else to represent my case

Yes I have an attorney

I have already settled my case

Please describe your accident and injuries*

Please Describe Your Accident and Injuries(Required)

First and Last Name?*

What is your first and last name?(Required)

First Last

Best email to reach you?*

Best email to reach you?(Required)

Your cell phone number?*

Your cell phone number?(Required)

Accident Info

What Type of Accident Were You Involved in?

How long ago was the accident?*

Was the accident your fault?*

Did the police arrive?*

How were you injured?*

Are you currently represented by an attorney for this accident?*

Please describe your accident and injuries*

First and Last Name?*

Best email to reach you?*

Your cell phone number?*

Seattle, WA

Kennewick, WA

Yakima, WA

Moses Lake, WA

Lakewood, WA

Olympia, WA

Everett, WA

Kent, WA

Royal City, WA

Boise, ID