Get Personal Injury Intake Form - Carterlawoffice.com

Filling out the Personal Injury Intake Form is an essential step in initiating your case and ensuring that your needs are addressed effectively. This guide will provide you with a clear and comprehensive approach to completing the form online, helping you navigate each section with confidence.

Follow the steps to successfully complete the intake form.

1. Click ‘Get Form’ button to access the intake form and open it in your preferred document editor.
2. Begin with the initial client statement section. Indicate if you have previously spoken to another attorney about this case and, if so, provide their name and any signed release they may have provided.
3. Proceed to the personal information section. Fill in your name, address, telephone number, age, date of birth, and social security number. This information establishes your identity for the legal process.
4. Next, complete the employment details. Include your employer's information such as address, phone number, occupation, and how long you have been with the company.
5. Fill in your spouse's information, including their name, employment details, and contact information, if applicable.
6. If you have children, provide their names and ages, and note how many are currently living with you.
7. Enter your emergency contact details, including their name, relationship, and contact information.
8. In the education section, list your high school graduation year and provide any further education details, including technical schools or colleges attended.
9. Complete the employment history by detailing past employers, positions held, and responsibilities. Include information regarding any previous injuries related to the current issue.
10. Capture accident information by providing the accident date, time, location, and details. Describe the weather conditions and any observable factors at the scene.
11. Fill out the insurance coverage information for both yourself and the defendant. This includes carrier names, addresses, policy numbers, coverage amounts, and any relevant details about claims filed.
12. Document your medical information by indicating whether you were injured, any hospital visits, and ongoing treatments or medications.
13. List all doctors involved in your care, including contact information and details about your appointments.
14. Include information about any other parties involved in the accident and their contact information.
15. Identify potential witnesses to the incident, provide their contact details, and describe their observations.
16. If needed, specify whether you can allow a review of the accident scene and include any additional information pertinent to your case.
17. Conclude by summarizing the damages you have experienced and how they have impacted your life.
18. Finally, save your changes, download the completed form, print it if necessary, or share it as required.

Start filling out your personal injury intake form online today to ensure your case is handled with care.