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Assured MVA - car aident injury claim in USA

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Check If You Qualify

Assured MVA - car aident injury claim in USA

Get Your FREE Car Accident Injury Case Evaluation

Find out if you qualify for compensation—fast, easy, and no obligation.

Status

Status

Did you have an accident in the last 12 months?

Yes No

Where did you get injured? (Select all that apply.)

Neck Back Shoulders Legs/Knees Head Other I Wasn’t Injured

Did you go to the hospital, doctor, or emergency room due to these injuries?

Yes, Within 14 Days Yes, But After 14 Days No

Have you gotten treatment regularly since the accident?

Yes, At Least Once a Month No I Stopped Treatment Not Sure

Who was at fault for the accident?

The Other Driver I Was at Fault Not Sure

Do you have an accident report or incident report number?

Yes No

Did you have car insurance at the time of the accident?

Yes No

Do you know if you have Uninsured Motorist (UM) coverage on your policy?

Yes No

Do you have an attorney for this accident?

Yes No

Your First Name

Your Zip Code:

Your Phone Number:

Your Email Address

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