Do I Have An Injury Case? Self-Case Evaluation Δ Step 1 of 3 33% Were you injured at work or somewhere else?(Required)At WorkSomewhere elseAre you over eighteen?(Required)YesNoWhere are you injured?(Required)Leg or ArmEyesight or HearingBack Are you still going to work?YesNoAre you seeing a doctor?YesNoHas your accident been reported to your employer?YesNoHas a police report been filed?YesNot yet Please enter your name, email and phone to send you the results of your self-assessmentFirst Name(Required)Last Name(Required)Email(Required) Phone
