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Home Personal Injury Case Evaluation
Personal Injury Case Evaluation
 

The personal injury attorneys at Rizio and Nelson use their knowledge and expertise in the area of personal injury law to make the process as painless and uncomplicated as possible for their clients and to obtain the maximum recovery for their losses.

If you have been involved in an accident or have been injured as the result of the negligence of another, it is imperative that you seek advice from an experienced California Personal Injury Law Firm as soon as possible to protect your rights and preserve valuable evidence and information
 
Personal Injury Case Evaluation Form
   
Name:
Address:
E-mail:
Phone:
Accident Date: Time: Location:
How you were Injured?
If you were injured in a car accident, describe the damage to your vehicle.
If you were injured in a car accident, please provide the name of your car insurance carrier.
If you were injured in a car accident, please provide the name of the car insurance carrier for the responsible party, if you know it.
Describe your injuries and any medical treatment you have received for your injuries.
Do you still require ongoing medical care for your injuries?
Do you have any health insurance benefits, including private insurance, Medi-Cal, Medicare or any other county or state administered benefits?
If you were injured in a "slip and fall" accident, please provide the name of the store/location where you were injured.
If you were injured in a "slip and fall" accident, please describe what caused you to fall.
If you were injured in a "slip and fall" accident, did you report the accident to the owner/manager of the premises at the time of the accident?
 

We thank you for visiting the website of California Personal Injury Law Firm.

 
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California Personal Injury Law Firm Disclaimer: The California Personal Injury, Criminal Defense, DUI / Drunk Driving, Employment Litigation, Family Law or other legal information presented at this site should not be construed to be formal legal advice, nor the formation of a lawyer or attorney client relationship.

Please contact California Personal Injury Law Firm for a consultation on your particular case. Our Personal Injury Attorneys are licensed to practice in California.