Free Case Evaluation ~OR~ Request A Real Estate Attorney

For a No-Cost Assessment of your personal injury, car accident, slip and fall, construction accident or workers’ compensation case, simply enter all of the following information below. You may also use this form to request a real estate attorney. Once all info is received, we will review your case and follow-up within 24 hours. If you need immediate assistance, please call our office at 508.660.8888.

Items marked with a red asterisk (*) are required to submit this form.


*Email
:                

Title:                    

*First Name:      

Middle Initial:   

*Last Name:      

Suffix:                  

*Address:            

Address 2:          

*City :                    

*State:                  

*Zip:                       

*Home Phone:    

*Work Phone:      

Mobile Phone:    

*Date Your Incident Occurred:
// (MM/DD/YYYY)


*
Case Summary:

So we may better serve you, please tell us more about your case.  If you are seeking a Real Estate Attorney, please inform us of your situation.  Be sure to include as much detail as possible.