18 Wheeler Wreck Attorney |Houston Texas|Tractor Trailer Accident Attorney|18 Wheeler Wreck

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Name:

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Type Of Injury

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Wrongful Death Auto Work
Slip & Fall Medical Other

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Injured Party(s):

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Work
Does your company provide Workers Compensation?	Yes No
Did you notify your employer of injury?	Yes No
How long after injury did you notify them?
Did somthing malfunction that caused the injury?	Yes No
Were any contractor or other companies involved in the accident and are they arguably at fault?	Yes No

Slip and Fall
Was there a sign warning of the hazard?	Yes No
Do you have their contact information?	Yes No
Did you notify the facility manager of the injury?	Yes No
Was the dangerous condition present for a long time?	Yes No
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Clients Desires

Loss Wages Repairs Medical Pain Suffering
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Houston Office
600 Jefferson, Suite 750
Houston, Texas 77002
Tel: 713-571-9165
Fax: 713-655-7702

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