Your Name (required)

    Your Email (required)

    In What City Did Accident Occur?

    Date of Accident

    Was Police Report Made?

    Did you lose any time from work?

    Best Telephone Number to Contact

    Describe the Accident

    By filling out the form, you will receive a free personalized case evaluation from a licensed attorney at Corrales Law Group within 24 business hours. Please describe the accident in as much detail as possible to give the attorney the best chance to provide an accurate evaluation.

    *Please Note: Filling out the form does not form an attorney client relationship. Evaluations will be provided outlining strong points and problems with each individual case.