Boston Personal Injury Lawyers Find a Physical Abuse Lawyer

Identification for yourself and your children	birth certificates
	social security cards (or numbers written on paper if you can't find the cards)
	driver's license
	photo identification or passports
	welfare identification
	green card

Important personal papers	marriage certificate
	divorce papers
	custody orders
	legal protection or restraining orders
	health insurance papers and medical cards
	medical records for all family members
	children's school records
	investment papers/records and account numbers
	work permits
	immigration papers
	rental agreement/lease or house deed
	car title, registration, and insurance information

Funds	cash
	credit cards
	ATM card
	checkbook and bankbook (with deposit slips)

Keys	house
	car
	safety deposit box or post office box

A way to communicate	phone calling card
	cell phone
	address book

Medications	at least 1 month's supply for all medicines you and your children are taking, as well as a copy of the prescriptions
Medications
A way to get by	jewelry or small objects you can sell, if you run out of money or stop having access to your accounts
A way to get by
Things to help you cope	pictures
	keepsakes
	children's small toys or books

If you or a loved one has been the victim of physical abuse then you may be entitled to monetary compensation. If you have been injured in a physical abuse accident you should contact an attorney immediately and end the vicious cycle. Please fill out the form below for a free case evaluation from an experienced personal injury lawyer regarding your potential claim.

Free Physical Abuse Lawyer Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Accident / Injury Information:

Date of Accident:	*
City where accident occured:	*
State where accident occured:	*

Please briefly explain the incident that caused the injury:
Who do you believe was at fault in causing the injury, and what do you believe they did wrong?
Describe the injuries in detail:

Do you believe the injuries are permanent?

Yes No

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
Is there anything else that would assist us in
understanding the facts of your case?

To Better Serve You:

Please tell us how you found us? If "other" please specify.

Please specify how you found us (if other than above):

If you found us using a search engine,
please tell us which search engine?

Please tell us exactly what terms you typed into the
search engine to find us? (i.e. Personal Injury Lawyers)

I understand that by filling out this free consultation form I am not forming an attorney client relationship. I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I understand that not all submissions may receive a response.
Yes No

I agree that the above does not constitute a request for legal advice. I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. I agree that if this matter requires advice regarding my home state, local counsel may be contacted for referral of this matter. I understand that email is not secure and thus I am not forming a confidential relationship.
Yes No

I have read and agree with the TERMS AND CONDITIONS
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By Clicking the box below, I agree to submit my case for a free case evaluation:

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