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(800) 892-5044

Contact Us - Wrongful Death Claim

Barry & Loewy LLP encourages prospective clients and referring counsel to contact us for a FREE initial consultation about the specifics of your case.

You may contact us by phone at (800) 892-5044, or by email at info@barryloewy.com. You may also contact us by filling out the electronic Questionnaire below.
 
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Accident Information
How are you related to the victim?
Have you been appointed as the personal representative of the victim's estate? Yes No
Does anyone have power of attorney from the victim? Yes No
Was an accident the cause of death? Yes No
If so:  
     What type of accident?
     What entities do you
     believe played a
     negligence role in
     the victim's death?
If an accident was not the cause of injury and death, what was the cause?
 
Was the person hospitalized prior to their death? Yes No
What was the date of death?
Has the decendent been buried or cremated? Yes No
Was the decedent married or single? Married Single
Was the decedent employed at the time of death? Yes No
Were you dependent upon the decedent for financial support? Yes No
     If so, how long were you
     dependent?
  Please do not include any confidential or sensitive information in this form. This form sends information by non-encrypted e-mail which is not secure. Submitting this form does not create an attorney-client relationship.
 
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Practicing in Personal Injury, Wrongful Death, Truck Accidents, Tractor Trailer Wrecks, 18 Wheeler Collisions, Semi Truck Crashes, Motorcycle Accidents, Boating Accidents, Drunk Driving Accidents, Mesothelioma, Benzene, Sexual Abuse, Refinery Accidents, Business Litigation, Pharmaceutical Drugs, Medical Devices, Guidant Defibrillators, Product Liability.
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