Tell us about your incident

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CONTACT INFO
Name*
First Last
Email*
Mobile phone
Other phone
Your preferred method of contact:*
- Email
- Mobile phone
- Other phone
DESCRIBE THE INCIDENT
What type of incident has occurred?*
You select "other" incident ... please elaborate.*
Do you know the date of the incident?
- Yes
- No
- Not sure
Date of incident
MM
DD
YYYY
What is the approximate date of the incident?
Do you know the location of the incident?
- Yes
- No
- Maybe
Location of the incident
Are there additional details you would like to describe?
Does the at-fault party has liability insurance?
- Yes
- No
- 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.

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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.

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

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.

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.

(512) 900-5530

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