Portanova and Rutigliano

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Name

Address

Phone

Date of Accident

Brief description of what happened

Were police called?

Yes No

What type of injuries did you receive?

Did you go to the hospital?

Yes No

Have you started to treat with anyone?

Yes No

Whom?

Did you lose time from work?

Yes No

Did you have health insurance to cover your medical bills?

Yes No

If an automobile accident, did you have an automobile insurance policy of your own in effect at the time of the accident?

Yes No Not an automobile accident

If an automobile accident, about how much damage was there to your vehicle?

A lawyer is generally paid for his services in an accident case, which is also called a tort or negligence case, based on what is called a contingent fee arrangement. This is for most cases, one-third of what the lawyer recovers for the client. A lawyer is also reimbursed for the costs he incurs on behalf of the client. The law requires that, if our office represents you for an accident, we must have you sign a written retainer agreement, explaining the fee arrangement.