Slip & Fall | Robert K. Young & Associates

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Accident Details

Type of Accident *

Date of Accident *

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I was working at the time of the accident I have consulted with another attorney regarding this accident I was insured at the time of the accident I went to the hospital I am currently seeing a doctor for my injuries

Slip & Fall–Specific Questions

I gave notice to the property owner / manager about the hazardous condition before my fall A police report was filed

Where did the fall occur? (e.g., store, sidewalk, parking lot)

Describe the hazard (e.g., wet floor, ice, broken step)

Slip & Fall — Date Not Set

Please describe how the accident happened *

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Tell Us About Your Slip & Fall

Your Contact Information

Accident Details

Slip & Fall — Date Not Set

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