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Free Personal Injury Evaluation

*First Name *Last Name *Email *Confirm Email *Phone (xxx-xxx-xxxx)
*Address City State Zip

When did the incident occur?
Approximate time of the incident
Where did it occur?
Please describe the incident
Day or night?

If auto collision: Do you have auto insurance?

If auto collision: Were you the driver or a passenger?

If auto collision: Was anyone else in the car with you?

If yes, please include their name:
Were you injured? Describe injuries:
Was an incident or police report taken?

Were you transported by ambulance?

Have you seen a doctor?

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David Allen & Associates has offices located throughout California and Nevada

Sacramento Office
Get Directions

5230 Folsom Boulevard
Sacramento, CA 95819

Phone: (916) 455-4800
Fax: (916) 451-5687
Stockton Office
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Sherwood Executive Center
5250 Claremont Avenue
Stockton, CA 95207

Phone: (209) 473-4800
Fremont Office
Get Directions

3900 Newpark Mall Rd., 3rd Floor
Newark, CA 94560

Phone: (877) 876-4800
Fax: (510) 663-4660
Oakland Office
Get Directions

1300 Clay Street, Ste 600
Oakland, CA 94612

Phone: (510) 663-4600
Fax: (510) 663-4660

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(877) 876-4800 Tel
(877) 751-5897 Fax

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