Contact us Name * First Name Last Name Email * Phone Number * Date of Incident * MM DD YYYY Type of Claim * Automobile Accident Trucking Accident Medical/Dental Malpractice Product Liability/Defective Product Trip and Fall/Slip and Fall Accident Do not know Description of Legal Issue * Thank you. Please allow one business day for our team to contact you. If you do not hear from us, please call 225-766-5001.