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Auto Accidents
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Case Evaluation
Personal Information:
Name
*
Street Address
City, State, Zip
Phone
Email
*
Facts about your injury:
What date were you hurt?
What injuries did you sustain?
What medical treatment have you received?
How much time, if any, have you lost from work?
Facts about how you were hurt:
How were you injured?
At what location?
Who was at fault for your injuries and why?
Were you working?
Other information:
Is there anything else you want to tell me about your accident, injuries, concerns or worries?
How and when should we contact you to schedule your free, no-risk, one hour consultation?
When are you available to meet?
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Office Location
Daryl Q. Stringer, Attorney At Law
1808 N. Morgan Street
Tampa, FL 33607
813-874-5555