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Motor Vehicle Accidents Contact Form

Aggressive drivers are responsible for many of the deadly accidents on American roads. If you have lost a loved one due to the actions of an aggressive driver, contact our firm to learn about your legal rights and options.

Maryland Motor Vehicle Accident Information Center

When you are involved in a motor vehicle accident, it is important to consult with an experienced, trusted, personal injury attorney. At Law Offices of Todd K. Mohink, P.A., we will provide you with the sound counsel, guidance, and strategy you need to protect your rights. From an immediate investigation through negotiation or trial, we will aggressively defend your interests to maximize compensation for lost wages, pain and suffering, medical expenses, long-term care needs or financial and personal losses related to wrongful death. Attorneys from our firm have the experience, commitment, and skill you can trust to achieve results in your case.

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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?
Yes  No 

Please describe how the accident happened.

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

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?
Yes  No 

Were you taken to the hospital?

What medical treatment have you received?

Are you currently receiving medical treatment?
Yes  No 

Was the other driver injured?
Yes  No 

Were any passengers injured?
Yes  No 

Please list any other concerns.

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