Personal Injury Lawyer in Palm Springs Area

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Toll-Free: 888-994-9996 JohnQ@JQALaw.com

Personal Injury Checklist

Information list - Personal Injury Please provide to John Q. Adams, attorney, the following items to assist him in pursuing your case: Click to download this list in MS Word Format.
Medical:
____________	1.	All Doctors - names, addresses, phone numbers.
____________	2.	Names of all hospitals.
____________	3.	All medical bills and related expenses.
____________	4.	Name of family doctor, address, phone number.
____________	5.	Certified Death Certificates - at least two (2).
____________	6.	Ambulance bill, prescription receipts.

Witnesses:
____________	1.	Name, address, phone number of each known witness.
____________	2.	Police Report.
____________	3.	Paramedic Report.

Property Damages:
____________	1.	Two (2) estimates on vehicle.
____________	2.	Photographs of vehicle (include shot with readable license plate number).
____________	3.	List of personal items lost or destroyed and your estimated value.

Loss of Earnings:
____________	1.	Time lost, X rate of pay =.
____________	2.	Name, address, phone number of employer or your CPA.
Insurance:
____________	1.	Your automobile policy; agent's name, address, phone number.
____________	2.	Copy of you automobile insurance declaration page.
____________	3.	Your homeowner's policy; agent's name, address, phone number.
____________	4.	Your group medical insurance; address and policy number.
____________	5.	Your private insurance plan; name, address and policy number.
____________	6.	Your union; name, address, phone number.
____________	7.	Other party's insurance company: name, address, and phone number.

Copyright 2008 The Law Office of John Q. Adams & Associates
Contact John Q. Adams & Associates, serving Palm Desert, Indio, Palm Springs
Orange County, La Quinta, Indian Wells, Desert Hot Springs,
Thousand Palms, Coachella, and all of Southern California.