Accident intake · Free · No obligation
Tell Us What Happened
The more you can share about your accident, the better an intake team can review the basic facts. Every field beyond your name, phone, and email is optional. Nothing here is legal advice, and sending the form is no obligation.
Accident Intake
Tell us what happened. We will review the basic facts. Prefer to talk now? Call (954) 683-1985 or text us.
General information, not legal advice. Case value and outcomes depend on the facts. No attorney-client relationship is formed until a written agreement is signed.
Accident Intake
Tell us what happened. We will review the basic facts. Prefer to talk now? Call (954) 683-1985 or text us.
Why We Ask These Questions
- • The type and date of the accident help show which deadlines and coverage may apply.
- • Whether you had medical care matters — in Florida, PIP benefits generally require care within 14 days.
- • Whether a police or incident report exists helps confirm the facts.
- • Whether insurance already contacted you tells us how quickly things are moving.
Please do not include private medical records, Social Security numbers, or other sensitive documents in this form. You can share those safely later if needed.
Before You Submit
- Get medical care first if you have any concerning symptoms.
- Have the accident date and location handy if you can.
- Note whether a police or incident report was made.
- Note whether any insurer has already contacted you.
- Keep your bills, photos, and records together.
This is general information, not legal or medical advice. If you have serious symptoms, get medical care first.
Helpful Next Steps
Prefer to Talk It Through?
Call or text now and an intake team can walk you through it.
Free review. No obligation. No attorney-client relationship until signed agreement.