What is My Wrongful Death Case Worth - Brandon, FLorida & Tampa Bay Area Lawyer - Holland & Lamoureux P.A. Attorneys At Law

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Attorneys At Law
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  - Heather H. Lamoureux
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Practice Areas
  - Personal Injury
  - Automobile Accidents
  - Motorcycle Accidents
  - Boating Accidents
  - Truck & Tractor-Trailer
  - Bicycle & Pedestrian
  - Wrongful Death

Frequently Asked Questions
  - Personal Injury
  - Automobile Accident
  - Motorcycle Accident
  - Boating Accident
  - Truck & Tractor-Trailer
  - Bicycle & Pedestrian
  - Post Accident Information
  - Wrongful Death

What Is My Case Worth
  - Personal Injury
  - Wrongful Death
  - What Is My Cost

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What Is My Wrongful Death Case Worth?

Name of Loved One Killed

Date of Death

Age at Death

Location of Death

City

State

Zip Code

Cause of Death

Details of Wrongful Death

Was Your Loved One Married? Yes No

Did He or She Have Any Children? Yes No

If Yes How Many and What Are Their Ages

Your Relationship with the Deceased?
Spouse Parent or Guardian Other Relative or Friend

Your Full Name *

Marital Status

Address

City

State

Zip Code

County

Home Phone *	Work Phone
Cellular Phone	Fax

Email Address *

What is the best way to reach you?

Additional Contact Information

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I agree that the above does not constitute a request for legal advice and that I am not forming an attorney client relationship by submitting this questionnaire. I understand that I may only retain an attorney by entering into a fee agreement, and that I am not hereby entering into a fee agreement. I agree that the information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. Since this matter may require advice regarding my home state, I agree that local counsel may be contacted for referral of this matter.
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Brandon, FL • 207 West Morgan Street • Brandon, Florida 33510 • Telephone: (813) 655-9069 • Fax: (813) 655-9067

Tampa, FL • 2011 West Cleveland Street, Suite D • Tampa, Florida 33606 • Telephone: (813) 253-2715

All Other Areas Call Toll Free: (866) 225-4907