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Personal Injury, General Contact Form

In 1998 in the United States, 5,220 pedestrians died from traffic-related injuries and another 69,000 pedestrians sustained nonfatal injuries. If you were injured in an accident, call a skilled New Jersey personal injury lawyer to discuss your rights.

With experience gained through representing both plaintiffs and defendants, the New Jersey personal injury attorneys at Rogan & Associates have extensive experience and understanding of the medical aspects of serious injuries and the causes of accidents.

Rogan & Associates represents clients in matters involving:

Topics regarding personal injury law in general are discussed below:

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Personal Injury Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

When were you injured?

How did the accident/injury happen?

Where did the event occur?

Was the accident/injury work-related?
Yes  No 

Were there any witnesses to the occurrence?
Yes  No 

Was an investigation conducted (police or otherwise)?
Yes  No 

Did you do anything to cause the accident?

Did you know any of the parties involved, prior to the accident?

When did you first receive medical care for your injury?

What was your diagnosis?

What treatment have you received?

How has your lifestyle changed as a result of the accident?

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