Wrongful Death Questionnaire

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    Your Name (required)

    Your Email (required)

    Phone

    Your Relationship to Deceased

    Age of Deceased

    Date of Death

    Date of Accident

    Location of Accident

    Describe the Accident

    Describe the Injuries and Treatment Before Death

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    Notice: Your submission of this form, or a free telephone consultation, will not constitute an attorney-client relationship.

    About Us

    Michael W. Goldstein, Esq. has been practicing New York personal injury law, including accidental injuries causing death, since 1979. If a close relative of yours died as a result of an accident or medical malpractice, please complete and submit the form above, to see if we can help to obtain monetary compensation for your tragic loss.

    New York Injury Attorney Disclaimer

    The New York personal injury, accident, injury, serious accident, or other personal injury legal information contained in this website is not intended to constitute legal advice, nor to create an attorney-client relationship or lawyer-client relationship. We recommend that you discuss your accident case with a Personal Injury Attorney or Accident Lawyer practicing law in New York promptly, since there are strict time limitations that apply to New York injury lawsuits. This website is not intended to solicit clients for accident cases outside of New York State. Under New York law, in the event there is no recovery in a contingency fee case, the client is responsible for the expenses of the litigation, including court costs and disbursements.

    New York Personal Injury Lawyers and Attorneys New York representing accident victims who have sustained serious injuries in New York City, Manhattan, Bronx, Brooklyn, Queens, Staten Island, Long Island, Nassau County, Suffolk County, Westchester County, Rockland County and upstate New York.

    Law Offices of Michael W. Goldstein
    Personal Injury
    Wrongful Death

    Telephone: (212) 571-6848
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