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Personal Injury Claim Of (required)
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1. I was involved in a ---motor vehicle accidentfallassaultother
Please include the date of the injury AND a description of your injuries below:
2. I was totally disabled for ---DaysWeeksMonthsYears
Please specify how many Days/Weeks/Months/Years
3. I was then partially disabled for ---DaysWeeksMonthsYears
4. Yan Gertsoyg, and the staff of Gertsoyg & Company, worked ---VerySomewhatNot hard to help me receive fair compensation for all of my losses.
5. My case was settled for (Enter Settlement Amount - Optional)
6. Results Achieved: Very HappySomewhat HappyNot Happy
7. Lawyer’s Professional Manner Very PleasedSomewhat PleasedNot pleased
8. Courtesy of Support Staff Very PleasedSomewhat PleasedNot pleased
9. I would DefinitelyPossiblyNot recommend other injury victims to Gertsoyg & Company.
10. My overall impression of Gertsoyg & Company is (please describe)
11. These comments cancan not used for public relations.
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