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Personal Injury, General Contact Form

If you have lost a family member or suffered injuries as a result of another person's negligence or misconduct, you could be legally entitled to compensation for your loss. To learn more about your right to damages, contact our firm to schedule a consultation with an experienced personal injury attorney for straightforward solutions that will work for you.

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Personal Injury, General Contact Form

Name

Email Address

Phone Number

When were you injured?

How did the accident/injury happen?

Where did the event occur?

Was the accident/injury work-related?
Yes  No 

Were there any witnesses to the occurrence?
Yes  No 

Was an investigation conducted (police or otherwise)?
Yes  No 

Did you do anything to cause the accident?

Did you know any of the parties involved, prior to the accident?

When did you first receive medical care for your injury?

What was your diagnosis?

What treatment have you received?

How has your lifestyle changed as a result of the accident?

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Slater & Zurz LLP | Attorneys & Counselors at Law

Slater & Zurz, LLP
Akron Office
One Cascade Plaza, Suite 2210
Akron, OH 44308
Phone: 330-331-5177
Toll Free: 866-930-1946
Fax: 330-762-3923
Map and Directions

Slater & Zurz, LLP
Canton Office
4450 Belden Village Street, N.W.,
Suite 301
Canton, OH 44718
Phone: 330-331-5177
Toll Free: 866-930-1946
Fax: 330-762-3923
Map and Directions

Slater & Zurz, LLP
Columbus Office
Executive Office Place
2720 Airport Drive
Columbus, OH 43219
Phone: 614-428-0523
Toll Free: 866-930-1946
Fax: 330-762-3923
Map and Directions