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Section1
I want to file a claim against a:
I was the victim of:
Section2
I was charged with a crime:
The area of the incident had video cameras:
I have, or can get the name of, a witness to the incident:
Section3
After the incident, I sought medical or hospital care:
I injured my:
Section4
The injuries have caused me to:
Additional Information:
I understand that the transmission of this information does not create an attorney client relationship but is, instead, a request for a free consultation with an attorney about the details of my potential case.
Disclaimer