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GENERAL INFORMATION
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AFTER AN ACCIDENT
INTERNET RESOURCES
 
REQUEST A CONSULTATION
 
Wayne Howell, Esq.
623-328-8567
Tell us a bit about yourself and your case.  The more information you can provide now and the more accurate the information, the better we will be able to determine whether we can help you.  If we are unable to meet your needs, we will do our best to refer you to a source that can.

Your Name:
Gender:  Male      Female
Address 1:
Address 2:
City
State:
Zip:
Email Address:
Best Phone:
Alt. Phone
   
What kind of
case are you
inquiring about
   
Facts of the
case/accident:
   
Please review your entries above and then click the submit button to send us your information.  If you wish, you may continue below and provide additional information.
   
Sending us information from our website does not mean that we have taken your case.  This firm and its attorney(s) do not yet represent you.  There is no attorney/client relationship and the information you submit will not be considered confidential until and unless an attorney/client relationship is established at a later time.  Thank you.
 
   
Additional Information
What was your role?
   
Did Police
Respond?
 Yes      No
   
What Police
Agency Responded
   
Do you have a report number?