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Questionnaire

Please fill out the following form
and confirm your answers

What type of claim or situation can we help you with?
Has a claim been filed for your injury or disability?
Are you currently receiving benefits or compensation for you injury or condition?

The information you provide to us will be kept strictly confidential. However, please note that no attorney-client relationship is established by internet communication. No expectation or obligation is created by you contacting us or by us responding to your inquiry. Taylor and Associates does not represent you until you formally retain us as your attorneys. We look forward to discussing your case with you further.

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