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Were you physically injured while you were working?

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Who's fault was the accident?




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What type of accident where you involved ?

Personal Injury

Auto Accident

Workplace Accidents

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Did you received any medical treatment after your accident?

Ambulance

Emergency Room

Doctor's Office

No Treatment

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What Kind of vehicle were you in?

Uber, Lyft, Taxi

Commercial

Motorcycle

Bicycle

Car

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Were you the driver, passenger or pedestrian?

Driver

Passenger

Pedestrian

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How recent was your accident?





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