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J.E. Wingfield, ESQ - Injury Claim Form
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Email Address
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Your answer
Phone #
Your answer
Name
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Your answer
What type of claim to you have?
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Please select one type of claim, a description of each is offered....
Assault / Battery
Automobile / Bicylce / Mortocycle / Pedestrian Accident
Harmful Substances
Medical Malpractice
Premise Liability (Slip & Fall / Dog Bite))
Product Liability
Worker's Compensation
Wrongful Death
Personal Injury - OTHER
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