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Workers Compensation
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Step 2
Did the injury occur at work?
Yes
No
Step 3
Where do you need a Workers Comp Attorney?
Step 3
Where do you need a Personal Injury Attorney?
Step 4
How long ago did the incident occur?
Step 4
How long ago did the incident occur?
Step 5
What is the cause of the injury that you incurred?
Select an answer
Traumatic Physical Injury (Accident)
Repeated Trauma Injury
Mental Injury
Occupational Disease
Not Sure
Step 5
Have you taken any action regarding your claim?
Select an answer
No action taken yet
Demand for compensation made
Lawsuit filed
Other
Step 6
Have you taken any action regarding your claim?
Select an answer
No action taken yet
Demand for compensation made
Lawsuit filed
Other
Step 6
What is the primary type of injury?
-- Select Answer --
Back or neck pain
Broken bones
Cuts and bruises
Headaches
Memory Loss
Loss of Limb
Other (Physical Injury)
Step 7
What is the primary type of injury?
-- Select Answer --
Back or neck pain
Broken bones
Cuts and bruises
Headaches
Memory Loss
Loss of Limb
Other (Physical Injury)
Briefly describe your case
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