California Crash Law Free Case Evaluation Contact

Tell Us About Your Accident

Four short steps, about five minutes. Your answers are encrypted and read only by attorney Elham Azimy and the firm’s intake staff.

  1. 1Your accident
  2. 2Injuries and what happened
  3. 3How to reach you
  4. 4Review and consent
Step 1 of 4 Your accident

Choose the closest match. “Other / not sure” is fine.

An approximate date is fine. The deadline to bring a claim depends on it.

Step 2 of 4 Injuries and what happened
How were you involved?

Were you (or the person you are asking for) injured?

Many injuries show up a day or two later. “Not sure” is an honest answer.

Where were you hurt?

Check all that apply.

Did an ambulance respond?

Did you go to an emergency room or urgent care?

Have you seen any other doctor, chiropractor or physical therapist?

Is treatment ongoing?

Do you believe someone else was at fault?

California reduces, but does not eliminate, a claim when fault is shared.

A few sentences in your own words: where you were, what the other vehicle did, what happened next.

Was a police report made?

e.g. the other driver, a rideshare driver, a trucking company, a city bus.

Do you already have an attorney for this accident?

If you do, please contact them first; we do not take over cases where another attorney already represents you.

Step 3 of 4 How to reach you

We usually call or text first.

Used for conflict checks and any required written disclosures.

Step 4 of 4 A few last questions and your permission
Do you have the other party’s insurance information?

Has an insurance claim already been opened?

Was a commercial vehicle involved (truck, bus, rideshare, delivery)?

Were you working at the time of the accident?

Your permission

Read the privacy policy, terms and legal disclaimer.

Important: Submitting this form requests a review of your inquiry; it does not create an attorney-client relationship, guarantee representation, or stop any legal deadline. Do not use this form for emergencies or send Social Security numbers, financial account details, or medical records. A lawyer may have duties to protect information provided by a prospective client even if no representation begins. We will contact you about this inquiry using the information you provide. We will not send your case details to an outside law firm for possible representation without your authorization unless otherwise permitted or required by law.