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201 E. Kennedy Blvd. Suite 1475 Tampa, FL 33602
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Product Liability Case Evaluation

Please answer as many of the following questions as you can.

Name:
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What was the product you were injured by?
How did you come to use, or be in contact with the product?
Where and when did you purchase the product?
Was there any written documentation or warnings that came with the product?
Was the product under warranty?

Did the original salesperson make any statements, representations, or promises, regarding the product at all?

Had you experienced any difficulty with the product prior to being injured? Was you were injury related to the trouble that occurred?

 
Had the faulty product ever been serviced or repaired? When? By whom? Why?
Has the product ever been tampered with or altered in any way?
When were you injured? How did it happened?
Diagnosis? Prognosis?
How has the injury affected your life?
 


DISCLAIMER: Sending an email through this form will not create an attorney-client relationship and will not necessarily be treated as privileged or confidential. Please do not send sensitive or confidential information via this email form. Email sent via the Internet might be intercepted and read by third parties.
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Address: Fifth Third Center   201 E. Kennedy Blvd, Suite 1475   Tampa, FL 33602   Toll Free: 877-888-JURY Phone: 813-223-7799