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Motor Vehicle Accidents Contact Form

A motor vehicle accident can have a devastating impact on you and your family. If you or a loved one has been injured, contact our firm to schedule a consultation with an experienced personal injury attorney.

New York Personal Injury Attorneys Serving Clients Nationwide

Though we are perhaps best known for our motorcycle accident law practice, we also represent people injured in all kinds of motor vehicle accidents: car, bus and train accidents. Many of our clients rely on us to help them obtain compensation for serious to catastrophic injuries: wrist injuries, broken bones, brain injuries, spinal cord injuries and amputations. Learn how Proner & Proner can represent you after a serious motorcycle or car accident. Contact us by phone or e-mail.

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Motor Vehicle Accidents Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

When and where did the accident occur?

What were the conditions? Light/Dark? Wet/Dry? Snow/Ice?

Where were you in the vehicle? Were you driving?

Who owns the vehicle?

Is the vehicle insured?
Yes  No 

Please describe how the accident happened.

Did the police come to the scene of the accident?
Yes  No 

If so, do you have a copy of the police report?
Yes  No 

Were any citations issued or arrests made?

Do you believe that alcohol was a factor in causing the accident?

Were you injured in the accident?
Yes  No 

Were you taken to the hospital?

What medical treatment have you received?

Are you currently receiving medical treatment?
Yes  No 

Was the other driver injured?
Yes  No 

Were any passengers injured?
Yes  No 

Please list any other concerns.

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Proner & Proner
60 East 42nd Street
Suite 1448
New York, NY 10165

Phone: 212-500-1003
Toll Free:888-572-2172
Fax:212-953-2079
New York Office

Connecticut
Proner & Proner
14 Depot Place
Bethel, CT 06801

Phone:203-244-6026
Toll Free:888-572-2172
Fax: 212-953-2079
Bethel Office

Albany
Proner & Proner
90 State Street
Suite 700
Albany, NY 12207

Phone:518-514-1053
Toll Free:888-572-2172
Fax:212-953-2079
Albany Office

Buffalo
Proner & Proner

182 East Main Street
Springville, NY 14141

Phone:716-542-8243
Toll Free:888-572-2172
Fax:212-953-2079
Springville Office

Rochester
Proner & Proner
250 Mill Street
Rochester, NY 14614

Phone:607-591-8124
Toll Free:888-572-2172
Fax:212-953-2079
Rochester Office

Syracuse
Proner & Proner

500 South Salina Street
Suite 316
Syracuse, NY 13202

Phone:315-295-1466
Toll free:888-572-2172
Fax:212-953-2079
Syracuse Office