Bailey Law Firm


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Initial Contact - Book a Consultation

Have you received treatment for your injury? (if applicable)

Do you wish to file as an individual, business or both?

Were you injured while working?

Were you an employee?

Did you report the incident to your employer?

Have you received treatment for your injury?

Did you miss work?

Do you have an open claim?

Are you a W2 employee?

Were you fired, demoted or disciplined?

Had you received prior discipline, warnings or poor performance reviews?

By submitting this form an attorney-client relationship has not been established and Bailey Law Firm has not undertaken your representation. The purpose of answering these screening questions is to make an initial determination as to whether a consultation would be productive to determine whether we can help. In some circumstances we do not feel we can help, based on the information provided and in that case will contact you to cancel your requested appointment.