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CASE REVIEW

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Please complete and submit the “Case Review” form below (est. time 5 minutes). 

The information you provide will form the basis of our prelimary assessment of your case. A Manaster Law Firm PLLC attorney will personally review the material. They, or someone with our staff, will contact you shortly thereafter to you to discuss next steps 

Case Review
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Was the accident your fault?
Was a police or accident report made?
Were you physically injured or in pain?
Identify all injured body regions
Identify all injury types
Does anyone have auto insurance coverage?
Were you taken from the incident by ambulance to ER?
Were you hospitalized other than visiting ER?
Did you receive medical treatment?
Did you miss work?
Did you have surgery?
Is an attorney helping you with your claim or has an attorney already rejected your claim?