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Client Appraisal Form

 

Personal Injury Claim Of (required)

Your Name (required)

Your Email (required)

1. I was involved in a

Please include the date of the injury AND a description of your injuries below:

2. I was totally disabled for

Please specify how many Days/Weeks/Months/Years

3. I was then partially disabled for

Please specify how many Days/Weeks/Months/Years

4. Yan Gertsoyg, and the staff of Gertsoyg & Company, worked 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:

7. Lawyer’s Professional Manner

8. Courtesy of Support Staff

9. I would recommend other injury victims to Gertsoyg & Company.

10. My overall impression of Gertsoyg & Company is (please describe)

11. These comments used for public relations.

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