Injured on Unsafe Property | Injured Henderson

Tell us what happened

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How to reach you

Your name *

Phone *

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Best way to reach you

About what happened

When did it happen? *

Where it happened

What happened? *

Your injuries and treatment so far

About the property

What kind of property was it?

What was the hazard?

Did you report it to the owner or manager?

Who may be responsible

Who do you believe is responsible? (person or company)

How are they connected to what happened?

Their insurance company, if known

Has an insurance company contacted you?

Have you signed anything or given a recorded statement?

Photos and documents

Helpful here: photos of the hazard, the incident report if one was made, and medical records. Up to 10 MB per file. Don't worry if you don't have these yet; send what you can.

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