Tell us about your incident

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CONTACT INFO

Name*

First Last

Email*

Mobile phone

Other phone

Your preferred method of contact:*

Mobile phone

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Other

DESCRIBE THE INCIDENT

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What type of incident has occurred?*

Auto Accident

On-the-job Injury

Wrongful Death

Construction Accident

Uninsured and Underinsured Motorist Coverage

Nursing Home Negligence

Medical Malpractice

Defective Products

Slip and fall

Civil Rights

Employment Discrimination

Sexual Harassment

Wrongful Termination

Overtime Pay

Breach of Contract

Construction Defects

Other

You select "other" incident ... please elaborate.*

Do you know the date of the incident?

Yes

Not sure

Date of incident

MM slash DD slash YYYY

What is the approximate date of the incident?

Do you know the location of the incident?

Yes

Maybe

Location of the incident

Are there additional details you would like to describe?

Does the at-fault party have liability insurance?

Yes

I don't know

Do you know the name of their insurance carrier?

WHEN DO YOU REQUIRE A RESPONSE?

Immediately

Within 24 hours

Within a week

Would you mind telling us how you found us?

Found you through Google search

Referred by friend or family.

Clicked on an online ad.

Saw a print ad.

Other

You said you found us by "other" above ... would you mind offering a brief explanation?

Note: This form is simply a way for us to gather some more details about your incident. Submitting this form to us does not bind you to our law firm or restrict you in any way regarding your case.

Contact Us

Schedule a free consultation: wi**@***********aw.com

Austin Office

(512) 706-9709
NEW ADDRESS:
3660 Stoneridge Road, Suite D102 Austin, Texas 78746

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ATTENTIVENESS

We ensure every client gets the attention and responsiveness they deserve. Hear our philosophy on ensuring we maintain a small case-load so we can spend more time on your case.

EXPERIENCE

In the past decade, we have handled hundreds of personal-injury cases across Texas, and we have a proven track record of success. Learn more about our firm, our experience, and our philosophy.

FEES

You don't pay at all unless we win a recovery for you, and our fee is simply a percentage of your recovery. Learn more about our fees.

1-MINUTE FORM

Take 60 seconds to complete the simple form and tell us a few details about your incident, and we'll reply with an honest evaluation of your case.

SHORT FORM

FREE CONSULTATION

Call us any time for a free consultation about. We'll give you an honest evaluation of your case on the very first phone call.

Austin

(512) 900-5530

NEW ADDRESS: 3660 Stoneridge Road, Suite D102 Austin, Texas 78746

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