Affected by wrongful death?

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Please complete all required fields below.

• What type of incident resulted in the death of the victim?
• Was the deceased a minor under the age of 18? No Yes
• Did the incident take place within the past two years? No Yes
• Is there a separate criminal case involving the decesased? No Yes
• Have you already spoken to an attorney regarding this claim? No Yes
• Name *
• Phone *
• Email *