See if I Could Be The Lawyer For You

Hurt in Florida? Fill out this form to see if your case qualifies for a free Zoom video call with Justin.

No cost upfront. You only pay if we win.

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Name*

First Last

Phone*

Email*

We’ll never share your contact info. It’s only used to respond to your request.

What was the date of the injury or death?*

If you don’t know it, put your best guess.

What are the injuries?*

We only handle injury or death cases. Check all that apply.

Pain (e.g., neck/back pain)

Broken bone (no surgery needed)

Torn ligament/tendon (no surgery)

Surgery on a bone, ligament or tendon

A friend or family member was killed

Other significant injuries

No physical injuries

An injury is required to qualify for a case.

We focus on injury cases specifically, so we may not be the right fit.

If you clicked “No physical injuries” by mistake, feel free to update your answer.

Did the injury or death happen in Florida?*

Yes, in Florida

No, outside Florida

No, on a cruise (including Florida cruises)

We only represent people for injuries or a death that happened in Florida (or on a cruise).

However, if you live in Florida and the injury happened in another state, we may be able to represent you..

If you clicked “No, outside Florida” by mistake, feel free to update your answer.

Please give us a brief description of the accident or incident.*

Put as little as you want. If you include more details — like what happened and whether it was work-related — I can more quickly tell if I can help.

Do you have an attorney?*

Yes, I have an attorney

No. I had an attorney but I don’t have one now

No. I have not had an attorney

Why are you looking for a new attorney today?*

My attorney said there is little or no Bodily Injury (BI) insurance coverage.

I am unhappy with how my current attorney is handling the case.

The attorney dropped my case and I don’t know why.

Based on what you told us about the insurance, we are likely not the right firm for your case.

This does not mean you don’t have a case—it just means it does not fit what we are able to help with right now..

Please read this carefully: There are strict state deadlines (time limits) for every case. If you wait too long to take action, you could lose your right to get money forever. Because of these deadlines, you should contact another law firm immediately. We wish you the best of luck.

Where do you live? *

We help both Florida residents and out-of-state visitors injured in Florida (or on a cruise). This just helps us get the full picture.

Florida

Another U.S. state

Outside the U.S.

To qualify for a case, the injury must have happened in Florida or you must live in Florida.

You told us the accident did not happen in Florida, and you don’t live in Florida. We are not licensed in other states, so we may not able to help.

If you clicked either of those choices by mistake, feel free to update your answer.

Attach any important photo(s)

For example, damage to vehicle(s), hazard that you tripped on, photo of incident scene, crash report, scarring or visible injuries, etc. (Optional – you can provide photos later if needed).

Drop files here or

Max. file size: 4 MB, Max. files: 5.

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