Areas of Practice

	Acela Train Accidents
	Airplane & Aviation Accidents
	Amtrak Accidents
	Anoxic Brain Injury
	Asbestos
	Auto Accidents
	Avandia
	Bankruptcy
	Bard Hernia Patch
	Birth Injury
	Brain Damage
	Brain Injury
	Broken Bones
	Burn Injuries
	Business Law (Litigation)
	Business Law (Transactional)
	Cerebral Palsy
	Chemical Accidents
	Civil Litigation
	Class Actions
	Complete MoisturePlus Contact Lens Solution Recall
	Construction Equipment Accidents
	Construction Injuries
	Contracts
	Corporate Law
	Crane Accidents
	Criminal Law
	Defective Drugs
	Defense Contractor Fraud
	Derrick Accidents
	Disability Law
	Dog Bite
	Electrical Injuries
	Elevator Accidents
	Elidel Cream Lawsuit
	Eminent Domain
	Entertainment Law
	Erbs Palsy
	Escalator Accidents
	Explosions
	Fashion & Modeling
	Federal Employers Liability Act Lawyers
	Fire Injuries
	Forklift Accidents
	Fosamax Jaw Death
	Fraudulent Cost Reports
	Gadolinium MRI
	Gas Explosions
	Guidant Defibrillator Recall
	Head, Spine, Brain Injury
	Hoist Accidents
	Ketek Drug Recall
	Ladder Accidents
	Legal Malpractice
	Mass Lawyer
	Massachusetts Lawyer
	Medicaid Billing Fraud
	Medical Malpractice
	Mesothelioma
	Motorcycle Accidents
	Music, Arts & Media
	Neck Injuries
	Nephrogenic Systemic Fibrosis
	Nerve Damage
	Nursing Home Negligence
	Off-Label Uses of Medications
	Paralysis
	Paraplegic
	Personal Injury
	Police Misconduct
	Premise Liability
	Protopic Skin Cancer
	Provigil Off-label Use
	Qui Tam / False Claims Act
	Real Estate
	ReNu Contact Lens Alert
	Restaurant & Business Transactions
	Scaffolding Collapse & Defects
	Sexual Assault
	Shoulder Pain Pump
	Skull Fracture
	Social Security
	Spinal Cord Injury
	Spine Injury
	Start-up Business
	Stock / Securities Fraud
	Tower Crane Injuries
	Traumatic Brain Injury
	Truck Accidents
	Utilities Fraud
	Welding Rod Fumes
	Whistleblower
	Workers Compensation
	Workplace Injuries
	Wrongful Death

Personal Injury

If you have questions regarding a possible claim, or would like to speak with an attorney regarding your rights, please fill out our "Personal Injury" form below.

Once you submit your information below, your free consultation form will be sent to a sponsored Massachusetts lawyer handling your field of law, for evaluation. That lawyer will review your form in accordance with the site terms and conditions.

There is no cost or obligation for this service. This form will be sent to:

Attorney Justin R. Cook, Esquire
SHEFF LAW OFFICES
10 Tremont Street
7th Floor
Boston, MA 02108
(617) 227-7000

Free Personal Injury Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Accident / Injury Information:

Date of Accident:	*
City where accident occured:	*
State where accident occured:	*

Please briefly explain the incident that caused the injury:
Who do you believe was at fault in causing the injury, and what do you believe they did wrong?
Describe the injuries in detail:

Do you believe the injuries are permanent?

Yes No

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
Is there anything else that would assist us in
understanding the facts of your case?

To Better Serve You:

Please tell us how you found us? If "other" please specify.

Please specify how you found us (if other than above):

If you found us using a search engine,
please tell us which search engine?

Please tell us exactly what terms you typed into the
search engine to find us? (i.e. Personal Injury Lawyers)

I understand that by filling out this free consultation form I am not forming an attorney client relationship. I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I understand that not all submissions may receive a response.
Yes No

I agree that the above does not constitute a request for legal advice. I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. I agree that if this matter requires advice regarding my home state, local counsel may be contacted for referral of this matter. I understand that email is not secure and thus I am not forming a confidential relationship.
Yes No

I have read and agree with the TERMS AND CONDITIONS
Yes No

By Clicking the box below, I agree to submit my case for a free case evaluation:

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