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    Law Office of Oscar R. Alvarez, Litigator · Step 1 of 8
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  • What happened?*
  • Your driver's license

    Step 2 of 8
  • Take a picture of your driver's license
  • Your date of birth
     / /
  • How can we reach you?

    Step 3 of 8
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • They are your:
  • Tell us what happened

    Step 4 of 8
  • When did it happen?
     / /
    2 digit month, 2 digit day, 4 digit year
  • Tap the microphone and tell us what happened. You can fix any words.
  • Rather just talk? Tap Record and tell us (up to 3 minutes). Hold your phone close and speak up.
  • Who caused it?
  • A few quick questions

    Step 5 of 8
  • Were you:
  • Did the police come?
  • Was the other vehicle a work truck, company vehicle or government vehicle (city, county, state, school bus)?
  • What kind of place was it?
  • Did you tell someone who works there or report it?
  • Were there any warning signs (like a wet floor sign)?
  • They were your:
  • The date they died
     / /
    2 digit month, 2 digit day, 4 digit year
  • Did anyone see it happen?
  • Have you talked to another lawyer about this?
  • Your injuries

    Step 6 of 8
  • Were you hurt too?
  • Tap every place that hurts
  • How bad is the pain today?
  • Medical care

    Step 7 of 8
  • Where have you gone for care? Tap all that apply.
  • Are you better now?
  • Medical bills so far
  • Papers and pictures

    Step 8 of 8
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • QR code to send pictures from your phone

    On a computer? Send pictures from your phone.

    Open your phone's camera and point it at this code. Tap the link, pick your pictures, and tap Send.

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