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Case Review
Case Review
jpadmin
2018-09-24T21:57:21+00:00
Step
1
of
4
25%
Were you injured in the accident?
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Yes
No
When did the accident happen?
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In the Last Month
Between 1-3 Months Ago
Between 3-6 Months Ago
Between 6-12 Months Ago
More than 1 Year Ago
Was the accident your fault?
*
Yes
No
Did the police arrive?
*
Yes
No
Are you currently represented by an attorney?
*
Yes
No
Please describe the accident.
Name
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Last
Email
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