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Immediate advice
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How severe is your injury?
2
What kind of injury
3
Cause of the injury
4
General information
5
Eligibility for personal injury compensation
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How severe is your injury?
Light injury (recovery expected within 3 months, not disabled)
Medium injury (3 to 6 months recovery period, temporarily disabled)
Serious injury (> 6 months recovery period and/or permanent disability)
What injury did you suffer?
Arm/hand injury
Leg/foot injury
Impaired speech/mouth injury
Hip injury
Shoulder/chest/spine
Damaged internal organs
Head, brain and nerve injury
Loss of smell/taste/nose injury
Psychological damage
Headache/concentration disorders
Scars
Eye injury
Ear injury
Back injuries
Whiplash
Paraplegia
Death
What is the cause of the injury?
Traffic accident
Work accident
Medical error
Other
Gender
Male
Female
Age
Date of accident
Occupation
Are you permanently or temporarily disabled?
Yes, temporarily
Yes, permanently
No
Specifics you would like to mention
Name
First
Last
Email Address
*
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Phone number
*
Determine your personal injury within 2 minutes
