Connecticut Wrongful Death Lawyer | Fatal Accident | Personal Injury | Hartford | Waterbury | New Britain

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


Wrongful Death Inquiry Form
* Required
Your Name*
Your Phone Number(s)*
Your Address & Town
Your E-Mail*
Your Decedent's Name*
Your Relationship to Decedent*
Date of Injury*
Town and State of Injury*
Date of Death*
Place of Death*
Please Tell Us Who Caused Your Decedent's Death*
Please Tell Us How Your Decedent's Death Was Caused*

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.