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Civic Center Building, Third Floor Phone: (360) 4235220 1700 Hudson Street Fax: (360) 4231478 PO Box 1549 Website: www.walstead.com Longview, WA 98632 PERSONAL INJURY FACT SHEET Date: Referred by:
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How to fill out personal injury fact sheet

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How to Fill Out a Personal Injury Fact Sheet:

01
Begin by gathering all relevant information about the incident, including the date, time, and location of the incident, names and contact information of any witnesses, and any other details pertaining to the event.
02
Provide a detailed description of the incident, including what happened, how it happened, and any factors or conditions that may have contributed to the incident. Be as specific and thorough as possible to ensure accuracy in documenting the incident.
03
Provide information about any injuries sustained as a result of the incident. Include details about the nature of the injuries, medical treatment received, and any ongoing healthcare needs. If there were multiple injuries, make sure to list them separately.
04
Include information about any expenses incurred as a result of the incident, such as medical bills, transportation costs, or lost wages. Keep any relevant documents or receipts as evidence to support your claim.
05
It is essential to include any insurance information related to the incident. Provide details about the insurance policies involved, including the names of the insurance companies, policy numbers, and contact information for the insurance representatives.
06
If you have engaged any legal representation for your personal injury claim, provide their contact information and any case numbers associated with your claim. This will help establish communication between all parties involved and ensure that accurate information is provided throughout the legal process.

Who Needs a Personal Injury Fact Sheet:

01
Individuals who have been involved in an accident or incident resulting in personal injuries can benefit from filling out a personal injury fact sheet. This can include victims of car accidents, workplace accidents, slip and fall incidents, medical malpractice cases, and any other incidents that have caused personal harm.
02
Insurance companies and legal professionals handling personal injury claims often require a detailed account of the incident and all related information. By filling out a personal injury fact sheet, individuals can provide the necessary information to aid in the claims process.
03
Personal injury lawyers or legal representatives may also utilize a personal injury fact sheet to gather and organize all relevant information about an incident. This document helps provide a comprehensive overview of the case, ensuring that no crucial details are overlooked during the legal proceedings.
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A personal injury fact sheet is a document that outlines the details of an individual's injury in relation to a legal case.
The injured individual or their legal representative is required to file a personal injury fact sheet.
The personal injury fact sheet can be filled out by providing accurate and detailed information about the injury, medical treatment, and other relevant details.
The purpose of a personal injury fact sheet is to document the specifics of an injury for use in legal proceedings.
Information that must be reported on a personal injury fact sheet includes details of the injury, medical treatment received, impact on daily life, and other relevant information.
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