Case Evaluation : Personal Injury Attorneys Chicago : Drakecollopy.com

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Personal Injury
Workplace Accidents
Motor Vehicle Accidents
Wrongful Death
Construction Accidents
Medical Malpractice
Drunk Driver Accidents
Aviation Accidents
Pedestrian Accidents
Slip and Fall Accidents
Animal Attacks
Nursing Home Abuse
Dram Shop/Liquor Liability
Products Liability
Serious/Catastrophic Injuries

Drake & Collopy, P.C. 10 S. LaSalle Street Suite 3500 Chicago, IL 60603
Phone: Fax: E-mail:	1.888.372.5355 312.345.0220 312.345.0360 info@drakecollopy.com

Case Evaluation

Date of accident (approximate ok):
Location (city):
Injuries:
Work related:
Amount of medical bills (if known):
Responsible ins. co. (if known):

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Brief summary of your claim:

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