Personal Injury

Motor Vehicle Accident Claim

Do I have a case?
Complete this free online case assessment form and a motor vehicle accident lawyer from Milne Selkirk will contact you to discuss your case.

*First Name:
 *Last Name:
*Street Address:
*City:
*Home Phone:
 Cell Phone:
*E-mail Address:
 Age:
Date of motor vehicle accident

(yyyy-mm-dd)		 Location of motor vehicle accident

 

Provide details about the motor vehicle accident:

Provide details about the injury that you suffered and any symptoms you are experiencing:

I acknowledge and agree that no lawyer-client relationship is established by submitting this online case assessment form *

All fields are required to accurately review your case

Proudly serving Greater Vancouver and the Fraser Valley with offices in Langley, Walnut Grove (Langley) and New Westminster
Langley - Phone: 604.882.5015 Fax: 604.882.5025
New Westminster - Phone: 604.522.2785 Fax: 604.522.4971
*Milne Selkirk is an association of independent lawyers and law corporations, not a partnership
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