Skip Navigation
Tap To Call
Home
About Us
Firm Overview
Our Attorneys
Historic Building
Staff
Videos
Types of Cases
Car Accident Lawyer
Dog Bite Lawyers
Motorcycle Accident Lawyer
Truck Accident Lawyer
Bicycle Accident Lawyer
Wrongful Death Lawyer
Slip and Fall Lawyer
Industrial Accidents Lawyer
Premises Liability Lawyer
Work Zone Accidents Lawyer
Construction Site Accidents Lawyer
See All Cases
Results
Client Reviews & Testimonials
Giving Back
Blog
Contact Us
Free Consultation:
(352)376-6046
Home
About Us
Firm Overview
Our Attorneys
Historic Building
Staff
Videos
Types of Cases
Car Accident Lawyer
Dog Bite Lawyers
Motorcycle Accident Lawyer
Truck Accident Lawyer
Bicycle Accident Lawyer
Wrongful Death Lawyer
Slip and Fall Lawyer
Industrial Accidents Lawyer
Premises Liability Lawyer
Work Zone Accidents Lawyer
Construction Site Accidents Lawyer
See All Cases
Results
Client Reviews & Testimonials
Giving Back
Blog
Contact Us
Live Chat
Click
to Call
(352) 376-6046
Home
Call Intake
Do I have a Case?
CALLER INFORMATION
Caller's Name
Contact Email
Phone Number
Date of Incident
Location of Incident
How did you hear of/reach us?
Case Type
Auto/Auto
Bike/Auto
Pedestrian/Auto
Premises Liability
Others
CASE INFORMATION
Were you found at fault?
Yes
No
What happened
Were the Authorities Called?
Yes
No
Who called?
Investigating Agency
INJURY INFORMATION
Describe your injuries
Have photos been taken of damages?
Yes
No
Photos of injuries?
Yes
No
Submit
