Jump to Navigation
Get Smart. Call Hart Law Firm. 888-600-4849

Workers' Compensation Contact Form

Back injuries and repetitive motion injuries such as carpel tunnel syndrome are among the most common work-related injuries for which workers' compensation benefits are paid. Contact an attorney to determine whether you have a valid claim.

Experienced Workers' Compensation Attorney in Atlanta

An on-the-job injury or the development of a work-related disabling condition can be a stressful and life-changing event. If you or a family member has been hurt in an accident or during normal performance of job duties, working with a skilled Georgia workers' compensation lawyer can make a critical difference in the benefits you receive and how soon you begin receiving them. Whether you are preparing to file your claim or have received a notice of denial, we encourage you to contact us at the Hart Law Firm.

Thank you for contacting The Hart Law Firm. Your message has been sent.

Call us now

or use the form below.

Workers' Compensation Contact Form

Name

E-mail Address

Phone Number

When were you injured or did you become sick?

Were you working at the time of the accident or harmful circumstance?
Yes  No 

For whom?

What work-related activity were you engaged in at the time you were injured?

How did the accident or harmful circumstance happen?

Were your injuries caused by tool or equipment failure or use?
Yes  No 

If your injuries were caused by tool or equipment failure or use, who manufactured, distributed and/or sold the equipment with which you were working?

When and where did you first seek medical care for your injury?

What was your diagnosis? Prognosis?

Who is your physician(s)?

Had you ever experienced similar symptoms in the past?
Yes  No 

Did the accident or harmful circumstance exacerbate a pre-existing injury?
Yes  No 

Did the injury cause you to miss work?
Yes  No 

Has your doctor authorized you to return to work?
Yes  No 

Copyright ©2009 FindLaw, a Thomson Business

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

Back to Main

Do You Have a Case?

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close