What helps intake evaluate the claim
- Crash date, location, and police report number if available.
- Truck company, vehicle markings, license plate, or USDOT number.
- Medical diagnosis, treatment, surgery, missed work, or fatality details.
- Photos, witness information, and any insurance contact.
Important disclosure
This form is for intake routing and general case screening. Do not send confidential information until an attorney confirms representation in writing.