Attorney M. L. Curry

Personal Injury

Personal Injury: Profile of Your Claim Form



Referred By:  
First Name:  
Last Name:  




Home Phone:

Cell Phone:  
Accident Date:  
Location of Accident:  
Defendant's Name:  
Defendant's Address  
Your Vehicle (Make/Model/Year):  
Defendant's License Plate No.:  
Defendant's Insurance Co.:  
Defendant's Insurance Address:  
Defendant's Insurance Phone No.:  
Claim Number:  
Adjuster's Name:  
Name Passenger(s) in Your Vehicle:  
Your Vehicle (Make/Model/Year):  
Your Insurance Co.:  
Accident Investigated by:  
Witness' Name:  
Witness' Address:  
Witness' Phone:  
Your Doctor  
Your Doctor's Address:  
Your Doctor's Phone:  
Emergency Room Name (1st Visit):  
Emergency Room Address:  
Emergency Room 1st Visit Date:  
Emergency Room Name (2nd Visit):  
Emergency Room Address  
Emergency Room 2nd Visit Date:  
Facts of the Accident:  
File Upload:  



M.L. Curry's Top Ten things to do when you get into an accident

1.)   Call the police right away.
2.)   While waiting for the police, get all of the insurance information from all parties involved in the accident, which should include the following:

*   Other driver's name
*   Address
*   Phone number
*   Witness name
*   Address
*   Phone number
*   Other car's Make/ Model/ Year/ License Number
*   Other car owner's insurance company
*   Phone number

Also be sure to record the following info as well...
*   Date and time of accident
*   Weather conditions
*   Road conditions
*   Location
*   And any other notes or information that will be helpful to Attorney Curry and your case.

3.)   Go to the Emergency Room if necessary.  Completely describe all of your injuries and how they occurred, especially if you were on the job at the time of your accident.
4.)   Contact Attorney M.L. Curry.
5.)   You and Atty. Curry will select a medical clinic for ongoing treatment.
6.)   Purchase Personal Injury Protection (P.I.P.) if you have not done so already.
7.)   Purchase Un-insured and Underinsured motorist protection.
8.)   Health Insurance.

9.)   Property damage - Get two (2) appraisals and submit both to Attorney Curry.
10.)  Rental car - Purchase Rental Car coverage if it is not already included in your auto insurance coverage.

Copyright 2011 by Attorney M L Curry

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