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Case Evaluation





Case Evaluation

If you or a loved one has been injured and you would like the attorneys at Kelley / Uustal to review your case, please proceed to our Case Evaluation Form. To contact us directly:

Toll Free Nationwide
888-522-6601

 Email Us
contact@justiceforall.com

Mailing Address:
Courthouse Law Plaza
700 S.E. 3rd Avenue, Third Floor
Fort Lauderdale, FL 33316

 

Case Evaluation Form
   
Salutation:
Mr. Mrs. Ms. *
First Name:
*
Last Name:
*
   
E-Mail Address:
*
   
Cellular Phone:
Work Phone :
Home Phone:
   
Street Address:
City:
State:
Zip:
   
When did the injury occur?:
Where did the injury occur?

Was your injury caused by your hand or other body part making contact with the spinning saw blade?

 Yes     No

Was your injury caused by “kickback”?

 Yes     No

Describe how the accident happened.

What part of your body was injured?

Did you see a doctor?

Yes     No

Describe what the doctor did?

Were you hospitalized?

 Yes     No
Did you lose fingers or thumb?
 Yes     No

Describe your injury.
   
 

 

 
Kelley / Uustal - JusticeForAll.com | (954) 522-6601 Telephone
Courthouse Law Plaza | 700 S.E. 3rd Avenue | 3rd Floor | Fort Lauderdale, Florida 33316
Table Saw Defect Lawyer / Attorney / Law Firm