Here’s the first step to a brighter future…quicker! There are limitations to who we can assist with this service. Answer these questions to find out if you qualify. Please enable JavaScript in your browser to complete this form.Which state did the injury occur? *WashingtonOregonOtherWere you at fault? *NoYesDid the accident that caused your injury occur more than 3 years ago?YesNoDid the accident that caused your injury occur more than 2 years ago?NoYesDid the at-fault driver have insurance?YesNoI don't knowDo you have Uninsured Motorist (UIM) on your own policy?YesNoI do no not knowWere you driving someone else's vehicle?YesNoDid the owner of the vehicle of the car you were driving have Uninsured Motorist coverage (UIM)?YesNoI do not knowSelect the type of accident that caused your injury. * Automobile Accident Motorcycle Accident Commercial Truck Accident Maritime Accident Dog Bite Injury Work Related Injury Medical Related Injury Slip and Fall Other Personal Injury Accident Did you get medical treatment for your injuries within a reasonable time after the accident?YesNoSubmit
