Amusement Theme Park Lawsuit Questionnaire

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Amusement Parks Premises Liability Injury Lawsuit Research
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Your Question

First Name:
Last Name: *
Home Phone: *
Work Phone:
Best time to call:
City and State:
Email:
Please describe your premises liability problem:
Please describe how you were injured
Date of Accident (mm/dd/yyyy):
Approximate Time of Accident:
Weather Conditions:
Location of Accident:
Please describe the accident and how it happened:
Were photos taken of:	Accident Scene Injuries
Was the accident reported to the police?	Yes No
Were you hospitalized?	Yes No
Addtional comments: