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Find Out If I Qualify

Were you injured at work? *

yes

no

Were you working and/or living in CA at the time of your injury? *

yes

no

Were you injured while working for the federal government or US Postal services? *

yes

no

Were you employed by a casino or working on tribal lands? *

yes

no

Have you already settled your workers' compensation case? *

yes

no

Did your injury occur more than 3 years ago? *

yes

no

Is your claim for emotional or psychological injuries? *

yes

no

Have you already filed a claim form with your employer? *

yes

no

Has your claim been denied? *

yes

no

Do you already have an attorney representing you for your workers' compensation case? *

yes

no

First Name *

Last Name *

Email *

Phone *

I authorize to be contacted by text, email and phone. *

Yes

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