Mobile Personal Injury Attorneys, Taylor, Martino, Zarzaur

Personal Injury Case Evaluation

Describe your claim:
Who was injured?
If other, please describe:
If other, please provide the persons name:
When was the date of the incident?
Where did the incident occur?
Was this location the injured person's:
If "Workplace," did the injury occur as a result of employment activities?
If "Other," was this a road accident?
If no, did the injury occur on another's property?
If yes, who owns the property?
How did the injury happen?
What were the surrounding circumstances
(weather, lighting, slipperiness, other)?
Were there witnesses to the injury?
If yes, what are their names/contact information?
Was there a police report?
Did the injured person receive medical treatment?
If yes, provide dates, locations, provider names, and details:
Is the injured person still receiving treatment?
Was the injured person killed as a result of the accident?
If yes, what was the date of his or her death?
Describe lifestyle changes experienced by the injured person
and his or her family as a result of the accident:
Describe other losses resulting from the injury
(lost wages, damaged property, other):
Where did you hear about this website?
Best way to contact you:
Best time to contact you:
First Name:
Last Name:
Phone:
Email:
Address:
City:
State:
Zip:

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Office Locations

Alabama Law Office	Florida Law Office
51 St. Joseph Street	212 W. Intendencia St.
P.O. Box 894	P.O. Box 12305
Mobile, AL 36601	Pensacola, FL 32591

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Personal Injury disclaimer: Mobile personal injury attorneys, Taylor - Martino - Zarzaur, have created this website about accident - injury law including auto accidents, product liability and nursing home abuse, for informational purposes only. The personal injury content should not be perceived as formal legal advice. Contact Taylor - Martino - Zarzaur today for formal advice and a free personal injury consultation with a Mobile, Alabama attorney. We proudly serve clients throughout Mobile, Alabama and Pensacola, Florida. Optimized by Page1Solutions, © 2009 All rights reserved.Disclaimer.