Do I have a case? - Work Comp Injury

"If you were injured in the Tampa Bay area, please take the time to fill out the following form. When you're done, click the 'Send to Matt' button."

Remember:
You should seek legal advice prior to giving any written or recorded statements!

Fields marked with an * are required.

Your Name: *
Street Address: *
City: *
State: *
Zip Code: *
County: *
Home Phone Number:
Work Phone Number:
Cell Phone Number:
E-mail Address: *
Verify E-mail address: *
Employer: *
Employer's Street Address:
Employer's City, State, Zip & County:
Gross Weekly Earnings:
Are you currently working?	Yes No
Accident Date & Time: *
Tell me about the accident: *
Tell me about your injuries: *
Are you receiving medical treatment from a work comp doctor? *	Yes No
If no, why not?
Are you receiving wages from the work comp insurance company? *	Yes No
If no, why not?
Most insurance companies want to settle your claim for a lump sum of money. However, resignation from the work where you got hurt is often required. Are you interested in discussing a settlement even if you have to resign? *	Yes No
Do you presently have an attorney for this claim? *	Yes No

Matthew E. Noyes, Esq. is admitted to practice in all Florida courts as well as the United States District Court. He is a member of the Academy of Florida Trial Lawyers; the Association of Trial Lawyers of America; the Clearwater Bar Association and the Hillsborough County Bar Association.
For an immediate response regarding a free case evaluation, send an E-mail, or call 727-724-7800.

Perenich, Caulfield, Avril & Noyes, Personal Injury Attorneys, Since 1955