Get in Touch We’re Here to Assist You With Your Needs Phone 614-856-5783 Email support@myinjurysettlement.com Address 2200 Post Oak Blvd Suite 1000, Houston, TX 77056 Take the First Step to Get the Help You Deserve There was an error trying to submit your form. Please try again. Fill out the information below so our team can review your accident details and connect you with a trusted legal professional. Once you submit your information, one of our representatives will call you within 24 hours to discuss your case and answer any questions you may have. First Name * Enter the first name of the injured person. This field is required. Last Name * Enter the last name of the injured person. This field is required. Type of Injury Please specify the type of injury sustained. This field is required. Did the injured person receive treatment? * Select if treatment was received. Treated at a hospital Treated at a doctor’s office Was not treated This field is required. Was a police report filed? * Indicate if a police report was filed. Yes No This field is required. Did the police report say you are at fault? * Indicate if the police report indicated fault. No Yes Both at fault This field is required. Are you currently represented by a lawyer for this case? * Indicate if you are currently represented by a lawyer. No Yes I was, but not anymore This field is required. When did the accident happen? * Select when the accident occurred. Within the last 30 days Within the last year Within the last 2 years More than 2 years This field is required. Address * Enter the address of the injured person. This field is required. Phone Number * Enter a valid phone number. This field is required. Email Address * Enter a valid email address for contact. This field is required. Consent * By clicking “Submit,” you agree and consent to the following: You are requesting a free case review and authorizing MyInjurySettlement.com to share the information you provide with its network of intake specialists and attorneys so they can contact you about your potential claim. You understand this may be considered attorney advertising. My Injury Settlement is not a law firm and does not provide legal advice. Any attorney-client relationship may only be established between you and the attorney you choose to engage. You authorize MyInjurySettlement.com and its partners to contact you at the phone number and email address you provide, including by text, phone call, prerecorded message, or automated dialing system, even if your number is on a federal, state, or corporate Do Not Call list. Message and data rates may apply. Your information will be kept private and used only for the purpose of evaluating your inquiry and connecting you with legal help. You can withdraw your consent at any time. This field is required. Submit There was an error trying to submit your form. Please try again.
