Personal Injury Law Information Center

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?

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

Newark, New Jersey Law Office
60 Park Place
Suite 1016
Newark, New Jersey 07102
973-643-0040

New York City Law Office
555 5th Avenue
14th Floor
New York, New York 10017
212-643-2503

Levy, Ehrlich & Petriello, A Professional Corporation, represents clients in business and commercial law, commercial litigation, real estate, criminal defense, and family law throughout Northern and Central New Jersey, including Newark, Hackensack, Elizabeth, Morristown, Paterson, Jersey City, New Brunswick, Somerville, Morris County, Union County, Hudson County, Middlesex County, Monmouth County, Westchester County, Hunterdon County, Somerset County and Bergen County; and also serves clients throughout New York City from its Manhattan office.