Home Contact James O. Cunningham Motor Vehicle Accidents Contact Form

Motor Vehicle Accidents Contact Form

* Name

Address

City

State

Zip

* Email Address

Phone Number

When and where did the accident occur?

What were the conditions? Light/Dark? Wet/Dry? Snow/Ice?

Where were you in the vehicle? Were you driving?

Who owns the vehicle?

Is the vehicle insured?

Is the vehicle insured?
Yes No

Please describe how the accident happened.

Did the police come to the scene of the accident?

Did the police come to the scene of the accident?
Yes No

If so, do you have a copy of the police report?

If so, do you have a copy of the police report?
Yes No

Were any citations issued or arrests made?

Do you believe that alcohol was a factor in causing the accident?

Were you injured in the accident?

Were you injured in the accident?
Yes No

Were you taken to the hospital?

What medical treatment have you received?

Are you currently receiving medical treatment?

Are you currently receiving medical treatment?
Yes No

Was the other driver injured?

Was the other driver injured?
Yes No

Were any passengers injured?

Were any passengers injured?
Yes No

Please list any other concerns.

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  • 5 StarsWalt Disney World Claims Department Employee

    “I was involved in a motor vehicle accident where the other driver ran a red light and my car was a total loss. I was referred to James Cunningham due to the fact that our attorney’s have been very impressed with James Cunningham’s work. This fact turned out to be very true as Mr. Cunningham helped me win my case to a full and maximum settlement.”

    - a Personal Injury client