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Calculate the Value of Your Car Accident Claim

By: Stewart J. Guss

What Is Your Claim Worth?

1. When was your car accident?

2. Did you receive medical care within 24 hours?
YesNo

3. Approximate cost of medical treatment to date, if known::
$
(Enter whole number, omit comma.)

4. Rate the severity of your injuries (5 is most serious)
12345

5. Did the police investigate the accident?
YesNo

6. Was your vehicle drivable after the accident?
YesNo

7. Approximate cost of vehicle repairs or total loss (if known):
$
(Enter whole number, omit comma.)

8. Do you have photos of the scene of the accident or damages to your vehicle?
YesNo

9. Brief summary of how the accident occurred:

Your Name

Your Email

Phone (required)

 

 

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