Personal Injury | Accident Lawyer | Fall Down | Slip and Fall | Sidewalk Cracks | Ice and Snow | Hartford

Serrano & Serrano, LLC

Attorneys at Law

800 856-6400

English

Skill

Determination

Experience

690 Flatbush Avenue West Hartford, CT 06110-1308

860 236-9350 800 856-6400 toll free 860 523-9101 fax

10 Church St, Naugatuck 203 729-6100


Fall Down Inquiry Form
* Required
Your Name*
Your Phone Number(s)*
Your Address & Town
Your E-Mail*
Accident Date*
Accident Time*
Accident Address or Place*
Accident Town*
Owner of Where You Fell
Where You Fell*	Sidewalk Stairs Driveway Street Indoors Other
What Made You Fall*	Ice or Snow Something Else Slippery Hole Uneven Pavement or Floor Other
Your Medical Treatment	Ambulance Emergency Room Family or Primary Care Doctor Orthopedist Chiropractor
Please Tell Us About Your Injuries*
Please Tell Us How Your Fall Happened*

Please include the area codes for your phone number(s).

Please note that with this form you are only sending us information.

To hire us as your attorney you must sign a contract with us to represent you in this matter.

Thank you for sending us this information.

Please note that our website is designed to provide only general legal information.

This information is not intended to apply to individual cases.

If you have a legal matter, you should speak with and hire an attorney to handle your specific situation.