Washington Bike Law

Confidential Case Review Form

For a free case review, please complete the form below. Washington Bike Law will promptly review the information you provide and should be in contact with you by the next workday.

If you have not heard from us within this timeframe or if have questions or concerns that cannot wait, please call us at 206.262.9290 or email info@washingtonbikelaw.com

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Provide Your Contact Details:

Washington Bike Law uses information provided in the Confidential Case Review Form to determine whether to recommend legal representation and to contact people who complete the form in the manner they request. Washington Bike Law will keep information provided in the Form confidential, and will not use or reveal that information, even if a person providing information on the Form is never represented by Washington Bike Law. Information provided on the Form will not be shared with third-parties for marketing purposes and will never be sold.

"Text" as your preferred contact method in Step 4. If you select "Text" as your preferred contact method you are Opting-In to receive text messages from Washington Bike Law. Message and data rates may apply. Message frequency varies and depends upon your response. You may Opt-Out of receiving text messages from Washington Bike Law at any time by replying STOP. You can also reply HELP for additional information. Click here to view our Privacy Policy.

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Date of Incident (day, month, and year)*:

Briefly describe the Incident*

Briefly describe your injuries and treatment (if any) from the Incident*

Location of Incident (city, state, and approximate address or description of area)*

Name of Person or Entity you believe should be found responsible for the incident (if known)

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Who referred you to Washington Bike Law, and/or how did you learn about Washington Bike Law?

Were you referred to a specific attorney at Washington Bike Law?

Other Comments or Questions (optional)

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Prefered Contact Method*:

By selecting "Text" as your preferred contact method you are Opting-In to receive text messages from Washington Bike Law. Message and data rates may apply. Message frequency varies and depends upon your response. You may Opt-Out of receiving text messages from Washington Bike Law at any time by replying STOP.

Step 5 of 5: Review & Submit

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If the summary below is correct, please "solve the math" to show you are a real person.

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All of the information you provided will be kept confidential and it will be considered a confidential attorney-client communication even if you do not retain Washington Bike Law.

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