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Motor Vehicle Accidents Contact Form

Motor vehicle accidents have many causes: inattentive drivers, intoxicated drivers, dangerous weather conditions and even poor road maintenance. No matter what the cause, the impact can be devastating. Contact our firm today to schedule a consultation and case evaluation with an attorney.

Car and Truck Accident Attorneys in Missouri

At the St. Peters law firm of Farrell & Martin, our experienced lawyers represent the victims of car and truck accidents in the state of Missouri. With more than 50 years of aggregate experience in personal injury law, our attorneys understand what it takes to obtain the compensation that our clients need for their medical expenses, permanent injuries, pain and suffering and lost wages. If you have been involved in a car or truck accident, contact us to schedule a free initial consultation and discuss your case with us. Call us at 636-614-1696 or toll free at 866-942-3741.

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Motor Vehicle Accidents Contact Form

Name

Address

City

State

Zip

Email Address

Phone Number

When and where did the accident occur?

What were the conditions? Light/Dark? Wet/Dry? Snow/Ice?

Where were you in the vehicle? Were you driving?

Who owns the vehicle?

Is the vehicle insured?
Yes  No 

Please describe how the accident happened.

Did the police come to the scene of the accident?
Yes  No 

If so, do you have a copy of the police report?
Yes  No 

Were any citations issued or arrests made?

Do you believe that alcohol was a factor in causing the accident?

Were you injured in the accident?
Yes  No 

Were you taken to the hospital?

What medical treatment have you received?

Are you currently receiving medical treatment?
Yes  No 

Was the other driver injured?
Yes  No 

Were any passengers injured?
Yes  No 

Please list any other concerns.

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