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Welcome to Burke & Eisner's Instant Answer Service

Fill in the fields, submit the form, and we will contact you as quickly as possible after your submission.  If you would prefer, you can call us anytime at 1-800-838-0800.

With this form you can, from the privacy of your home, find out whether you may have a case and whether we may be able to help.  All you have to do is answer some brief questions that will allow us to evaluate your case quickly.  The information is immediately sent to one of our attorneys.  If it is after business hours, then one of our attorneys is notified and he will respond to your questions as quickly as possible.  

When filling out the form please use the "Tab" key to move from box to box.  DO NOT hit the enter key until you have completed the form and want to submit it.

 
Date of the injury......................
Name of injured person..............
Your Name (If different from above)......................................
Daytime Phone Number............

Night Phone Number.................

Address...................................
Address...................................
City.........................................
State.......................................
Zip...........................................
How were you injured?.............. Auto Accident

Hit by a car

Motorcycle Accident

How old is the injured person?

What State did the injury occur in?
Please provide a description of your case or question.
Please provide your e-mail address.  This is required so that we can respond to your inquiry. If you do not provide this then you may not receive a response, unless of course you have provided your phone number above.

We use your "Instant Answer" information solely to make a preliminary decision about whether you might have a claim and whether we might be able to help you.  In reviewing your information we are NOT agreeing to represent you or take your case.