Contacting law firm

By submitting the form below, your inquiry will be emailed directly to:

Stephen M. Reck

  • Wallingford CT
  • Phone: 866-742-2989

Remember, the more information you provide, the easier it is for us to help you.

What type of injuries do you have?

Auto/Motor Vehicle Accident
Wrongful death
Medical Malpractice
Slip and fall
Dog bite
Hurt on the job
Other

Describe how the accident or injury occurred?

What is the extent of your injuries?

What was the date of your injury or accident?

Have you seen a doctor?

Yes
No

Have you filed any claims?

Yes
No

Have you filed a police report?

Yes
No

Were there any witnesses?

Yes
No

Do you have insurance that covers you for this type of incident?

Yes
No
Not Sure

Do other involved parties have insurance that covers this type of incident?

Yes
No
Not sure

* Please enter the security code shown below:

Captcha Image

      

By submitting an inquiry, you agree to our Terms & Conditions.

The information contained in this web site is intended to convey general information. It should not be construed as legal advice or opinion. It is not an offer to represent you, nor is it intended to create an attorney-client relationship.