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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.

Life After a Motor Vehicle Accident

A motor vehicle accident can be devastating. If you have been seriously injured in an automobile accident through no fault of your own, you are entitled to be compensated for your medical expenses, property damages, lost income, and pain and suffering. At Geary & Geary, LLP, our attorneys have decades of experience helping victims of negligent and careless drivers receive financial compensation for their injuries. Contact our office to speak with an attorney about your specific situation. We are here to help you get navigate this complex area in your time of need.

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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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