Personal Injury Attorney Consultation Form
Please fill out the following Case Evaluation form and provide as much information as possible. All information is kept strictly confidential and is used only by the Shergill Law Firm for the evaluation of your case. By accepting and reviewing this completed form, we are not agreeing to represent you. Rather, we will evaluate your information to determine whether or not we can accept your case.
Note: fields with a * are required.
**PLEASE DO NOT GIVE A WRITTEN OR RECORDED STATEMENT TO THE INSURANCE COMPANY!**
If you or a loved one has been injured in an accident
it is important to protect your legal rights.
Call Us Toll-Free:
1 (888) WAY-2-WIN
Tel: (916) 564-5781 | Fax: (916) 564-2764