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Motor Vehicle Accidents Contact Form

Aggressive drivers are responsible for many of the deadly accidents on American roads. If you have lost a loved one due to the actions of an aggressive driver, contact our firm to learn about your legal rights and options.

Learn About the Law on Motor Vehicle Accidents

While the Internet has a great deal of information about motor vehicle accident lawsuits, the best way to learn how the law may apply in your situation is to talk with an attorney about your options. Contact the lawyers at Friedman, Domiano & Smith by calling us at 866-636-8367 or completing our online contact form. Our main office is located in Cleveland. We also operate additional offices in Ohio.

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Motor Vehicle Accidents Contact Form

Name

Address

City

State

Zip

Email Address

Phone Number

When and where did the accident occur?

What were the conditions? Light/Dark? Wet/Dry? Snow/Ice?

Where were you in the vehicle? Were you driving?

Who owns the vehicle?

Is the vehicle insured?
Yes  No 

Please describe how the accident happened.

Did the police come to the scene of the accident?
Yes  No 

If so, do you have a copy of the police report?
Yes  No 

Were any citations issued or arrests made?

Do you believe that alcohol was a factor in causing the accident?

Were you injured in the accident?
Yes  No 

Were you taken to the hospital?

What medical treatment have you received?

Are you currently receiving medical treatment?
Yes  No 

Was the other driver injured?
Yes  No 

Were any passengers injured?
Yes  No 

Please list any other concerns.

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Friedman, Domiano & Smith Co., L.P.A.
55 Public Square, Suite 1055
Cleveland, OH 44113
Phone: 866-636-8367
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The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

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