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Construction Accidents Contact Form

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Construction Accidents Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

Were you injured at a construction site?
Yes  No 

If not, are you related to someone who was injured at a construction site?
Yes  No 

Were you injured in the course of employment while working at the construction site? If so, what was your job title/job description at the time of the incident that gave rise to your injury? Who was your employer? Were you employed by a contractor/sub-contractor?

When did the incident giving rise to your injury occur?

How did the incident occur? What were you doing at the time? If you were working at the construction site, were you being supervised? Describe the "chain of command" on the site.

If you were working at the construction site, was an accident report generated by your employer after the incident?
Yes  No 

Was any other hearing or proceeding held?
Yes  No 

Do you know the names of any co-workers or other individuals who may have witnessed the incident?
Yes  No 

What injuries were sustained as a result of the incident?

Are you currently receiving medical treatment as a result of the incident?
Yes  No 

Have you discussed this matter with any representative of other parties involved in the incident, such as your employer or a construction company attorney?
Yes  No 

How have your injuries affected your overall life experience and well-being?

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Serving injured clients in: Albany, Bronx, New York, Dutchess, Schenectady, Sullivan, Kings, Queens, Rensselaer, Westchester, Erie, Orange, Nassau, Suffolk, Rockland, Richmond, Columbia, Saratoga, Greene, Fulton and all other NY counties including clients from Albany, Poughkeepsie, Manhattan, New York, the Bronx, Brooklyn, Buffalo, Syracuse, Monticello, Staten Island, Rochester, Smithtown, Ramapo, Queens, Oyster Bay, Islip, Huntington, North Hempstead, Greece, Cheektowaga, Yonkers, Brookhaven, Babylon, Amherst, Kingston, Newburgh and all other NY cities/towns.

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* This site and any links to it are intended to present information and advertise our services solely to New York residents where our in-house attorneys practice. Outside co-counsel employed on certain cases with consent of client. Nothing contained in this site should be construed as legal advice, for which you should consult an attorney. Nor does your review of this website, sending of email, contacting us, or submission of a request form constitute the formation of an attorney-client relationship between you and our firm. There are certain time limits ("Statute of Limitations") in every case beyond which your right to bring a claim in connection with your accident will be lost forever. Since no attorney/client relationship exists between you and our firm, we cannot protect your interests if the time limit for your case is about to expire, until such time as you formally sign a representation agreement with us. With repsect to all case results appearing on this site, please note that: PRIOR RESULTS DO NOT GUARANTEE A SIMILAR OUTCOME.

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