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Motor Vehicle Accident Inquiry Form

First Name

Last Name

Phone Number

Email*

Date of Accident

Where did the accident happen?

Did you receive any medical treatment?

Have you spoken to another attorney already?

I consent to be contacted by a law firm about my inquiry and submit this info voluntarily.

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Swift Leads creates the bridge for the injured individuals and the personal injury law firms.

Disclaimers:

Swift Leads LLC is not a law firm, does not provide legal advice, and is not a certified lawyer referral service as defined under Texas Occupations Code Chapter 952. We do not evaluate legal claims or recommend attorneys. All legal services are provided solely by independent law firms. Any client-attorney relationship is formed solely between the individual and the law firm.

Swift Leads Group

info@swiftleadsgroup.com | 214-347-7997

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