New "Free Case Evaluation" Form

VIDEO TRANSCRIPT:

This is for our "Free Case Evaluation" page

Hello everyone and welcome to the personal injury case evaluation form. Thank you for visiting my website. My name is Robert Mansour and I am the attorney here, and I'm just gonna give you a real quick tour through this form. First of all, you can always just call us at the phone number you see there on the screen and my intake staff can speak with you about your case and take the relevant information. But if you'd rather fill out this form or maybe it's after hours or on the weekend, you can go ahead and fill out this form and also send us the information for us to take a look.

So it's very straightforward. Enter your name, your address - You don't have to enter your address, but it might be helpful in case we need to mail you some forms or anything. Your phone number, where you can be reached your email address.Now this is important because that way we can reach you. And also you'll receive an email confirmation of everything that you've submitted through this form. And of course we will as well.

The date of the accident would be very important. And then just tell us a little bit about what happened, you know, how did the accident occur? Tell us about your case. If it's an auto accident, please list your insurance company - who your insurance company is. And also the name of the person who caused the accident. Now that's important because we have to run something called a "conflict check" which means that if this person is somebody who is a client of ours already, or perhaps was a client of ours before, we would not be able to help you, because that would be a conflict of interest.  Now, if you don't know, that's okay, you can just leave that blank or just put, I don't know. Include the insurance of the person who caused the accident. If you, if you have that information, just go ahead and jot that down.

If there was a police report, please let us know. Also the police officer may have given you some idea of when the report would be ready. If not, you can simply call the police station and ask them roughly when they expect the report to be ready. Sometimes also the police will have the first page of the report available. And so sometimes they'll give you that even though the full report is not yet ready. And on that first page is a whole bunch of information that might be helpful to your case.

And then we'd like to learn more about your injuries after all, this is a personal injury website, personal injury law firm. And so if there was no injury or zero injury, we're probably not gonna be able to help you.  However, we can still answer your questions and provide you with general advice if you'd like.

It would also helpful if you could upload any car damage photos that you have. And if you don't have then try to get some - maybe your insurance company took some pictures - maybe if it was taken to a body shop and maybe they have some pictures. Sometimes tow yards take pictures as well. If you have photos, please go ahead and upload them here. If you have a copy of the police report, please upload it as well. Any damage to your body, any injuries, bruises, cuts, abrasions, things like that.  If you wish, and it would be easier, you can just go ahead and text all of that to us. We have a phone number that's available only for texting which you see there on the screen. And just go ahead and text us the photos if you wish.

Then down here, you could just indicate, you know, your primary reason and maybe you have multiple reasons. So pick as many as you want, you might have just general questions. You might be wondering if you have a case worth pursuing maybe you're looking to hire somebody or maybe you're just not sure what to do. You can go ahead and fill all that in and any additional information down at the bottom that you think would be helpful to our evaluation or you think we should know. And then just go ahead and submit the case evaluation form. You'll get a confirmation screen and you'll get a copy of a PDF full of all the information that you've written. You'll also get an email confirmation and a member of my team will contact you as soon as possible. Thank you so much for taking the time to fill out the personal injury evaluation form.