LAWSUITS NEWS & LEGAL INFORMATION

Children's Toys (injuries)

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Defendant:
(who caused the harm?)

*Describe your complaint:
(briefly describe the damages you have suffered)

Name of Victim:

Date of Victim's Birth:

Date of Accident:

What product caused the accident (Toy name & manufacturer):

When was the product purchased:

Where was the product purchased:

Do you have a copy of medical records?

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Can you get a copy of medical records?

Yes No

Was the incident fatal?

Yes No

*First name:

*Last name:

*Email address:

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*Phone number(s):

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