HOME   ATTORNEY PROFILES   ABOUT US   CONTACT US   NEWSLETTER  
Auto accident
 
workers compensation 
 
insurance bad faith/denial
 
wrongful death
 
Slip and Fall
USEFUL INFORMATION
Legal Dictionary
Statute of Limitations
State Resources
 

Case Submission Form

For a free, no-obligation consultation with an experienced attorney regarding cases of personal injury and wrongful death, please submit the following response form. We will respect the confidentiality of your information to the fullest extent. Form submissions are relayed to us through our highly secure servers.

If you prefer, you may contact us at 407-244-3340 or 407-999-9991.

Tell us who you are and how we can contact you. Note: This information is strictly confidential and will not be communicated with anyone. It is necessary only for purposes of enabling us to do a conflict of interest check prior to responding to you. We cannot respond without being able to do our conflict check. ALL fields are required.

First Name

Last Name

Number, Street & Apt.

City

State

Zip

Email

Day Phone

Night Phone

Please provide a brief personal background of the person needing assistance. Many times we are contacted by someone other than the person in need of help, such as a parent on behalf of a child, or wife on behalf of a husband. Please provide the following information on behalf of the person who needs assistance.

The following information is for myself:   Yes   No

If "No" my relationship to the following person is:

First Name

Last Name

Age

Occupation

For how long

Current or last employed

City and State where last employed

Highest grade completed

Schools/College attended

Degrees

Year degree granted

Special training or experience in

Why Do You Need Help? Please provide us with a very brief overview, in 200 words or less, describing in general the subject matter of your request. You can provide more detailed information below, but for now please confine yourself to providing us with a brief statement of the general facts of your case, injury and damages.

State the date you were injured or when you first learned that you had been injured?

What occurred?

Where did it happen? Please type in the City, County and State where it happened:
City
State
County

Who caused the harm? Please type in the names & addresses of all the wrongdoers involved:

What damages were suffered? Describe the damage you have suffered:

Has anyone already filed a suit?  Yes   No

When is the best time to reach you by telephone?

When the information you have provided is complete, please press the Submit button below to send it to Federigos & Lambe. Your information will be kept strictly confidential.

   

The above is not legal advice. That can only come from a qualified attorney who is familiar with all the facts and circumstances of a particular, specific case and the relevant law. See Terms of Use.

 

Crash Test Simulation
Side Airbag Demonstration
Head On Collision
...see all videos
 
 
Home     |     Attorney Profiles     |     About Us     |     Contact Us     |     Newsletter

Copyright 2008 Ferderigos & Lambe - All rights reserved