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Motor Vehicle Accidents Contact Form

A motor vehicle accident can have a devastating impact on you and your family. If you or a loved one has been injured, contact our firm to schedule a consultation with an experienced personal injury attorney.

Answers to Your Motor Vehicle Accidents Questions

A motor vehicle accident can change your life in an instant, but an experienced lawyer can help you put it back together. At the law office of Berry, Kessler, Crutchfield, Taylor & Gordon, we will answer your questions and help you explore your options as we build a plan to help you get the medical care you need and the financial compensation you deserve.

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Motor Vehicle Accidents Contact Form

Name

Address

City

State

Zip

Email Address

Phone Number

When and where did the accident occur?

What were the conditions? Light/Dark? Wet/Dry? Snow/Ice?

Where were you in the vehicle? Were you driving?

Who owns the vehicle?

Is the vehicle insured?
Yes  No 

Please describe how the accident happened.

Did the police come to the scene of the accident?
Yes  No 

If so, do you have a copy of the police report?
Yes  No 

Were any citations issued or arrests made?

Do you believe that alcohol was a factor in causing the accident?

Were you injured in the accident?
Yes  No 

Were you taken to the hospital?

What medical treatment have you received?

Are you currently receiving medical treatment?
Yes  No 

Was the other driver injured?
Yes  No 

Were any passengers injured?
Yes  No 

Please list any other concerns.

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The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

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