Category 13: Workers Compensation

You need a lawyer to help you with a claim for injuries or death on your behalf or on behalf of a friend or family member that occurred at work while employed.

We have great lawyers that can help you with your Workers Comp case.  Tell us how the claim arose, and we will try to help.
Are you looking for a lawyer for yourself or for someone else?*
If you are looking for a lawyer for someone else, is it a friend or family relation?
Did the injury or death occur to an employee while on the job performing labor?*
What was the approximate date of the accident causing the injury or death?*
In what city and state did the worker injury or death occur?*
Please state the employer’s name and address:*
Did the accident cause an injury or a death?*
If the accident caused an injury, briefly
describe as best you can what personal injuries were suffered:
Did the injured person go to a hospital or doctor?*
Please identify the insurance company of the employer, if you know its identity:
Has the injured person missed any work, or is the injured person expected to miss any work?*
If yes, how much work will be missed?
How much does (did) the injured person earn per week?*
If you know, approximately how much are
the medical bills for the injured person at
this time?
What was the age of the employee at the time of the accident?*
Marital status:*
Number of dependent children of the employee:*
Please state any other particular facts that may apply to the accident or working arrangement:*
First Name* Last Name*
Email Address* Re-type Email Address*
Mailing Address* City*
State* Zip Code*
Home Phone* Cell Phone*
Work Phone*
Note: Initially, LawyersYouNeed.com will only provide your e-mail address to the lawyers who may be interested in discussing your legal situation with you.  Your mailing address and telephone numbers will not be disclosed unless the attorneys certify that there is a problem or malfunction with receiving or sending e-mail to you. 
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