Serrano & Serrano, LLC

Connecticut Attorneys at Law

Working for You

860 236-9350 ▪ 800 856-6400

690 Flatbush Avenue, West Hartford, CT 06110-1308

One Carriage Place, Waterbury, CT 203 756-6100

Call and Speak to a Person, Not a Machine

Skill

Determination

Experience

690 Flatbush Avenue West Hartford, CT 06110-1308

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

One Carriage Place Downtown Waterbury 203 756-6100


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*

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	Please note that our law firm's website is designed to provide only general legal information. This information is not intended to be legal advice for your individual situation. Call us for personal injury, Social Security, divorce, bankruptcy, immigration, workers compensation and criminal cases. Portuguese Spanish
John Serrano		Gabriel Serrano

Serrano & Serrano, LLC
Connecticut Attorneys