Case Review Breadcrumb Navigation HomeCase Review Please complete & submit the form below for a free & no obligation initial review of your case. Please enable JavaScript in your browser to complete this form.Did the Accident happen in New York State *YesNoPlease tell me the location of where the accident happenedIn what city or county did the accident happen? *When did the accident happen? *Please provide the mm/dd/yyyyAt the time of the accident, I was *on a Motorcycleon a Bicyclea pedestriana passengerotherHow many vehicles were involved in the accident? *None – there were no other vehicles involvedOne – I was either a pedestrian or a bicyclist that was struck by another vehicleOne – I was a passenger in a car, and no other vehicles were involvedOne – I was a passenger on a motorcycle that was being driven by another person.Two – I was on a motorcycle that was hit by another vehicleTwo – I was in a motor vehicle that was hit by another vehicleTell us how the accident happened:Please provide a brief description to let us know how the accident happenedDid you sustain any of the following injuries? *Broken / Fractured Bone(s)Facial LacerationsDislocated Joint(s)ConcussionAmputationNone of the aboveWhat types of medical treatment have you received? *Emergency RoomX-Rays – Ct Scan – MRIUltra SoundSurgeryCasting – Splints – ImmobilizationNone- I haven’t received any form of medical treatmentPlease tell us more about your injuries: Check any of the following that applyThe Police investigated the accidentI was taken from the accident by an ambulanceI was issued traffic ticketsAnother motorist was issued ticketsI have photos of the accidentI have the identity of witnesses to the accidentOne of the vehicles involved was owned by the governmentI already hired a lawyerName *FirstLastPlease provide your name Email *Submit