Car Accidents

Car Accident Injury Claims — Contingency Fee

If you were hurt in a car accident in Los Angeles, Orange or San Bernardino County. You pay no attorney's fee unless money is recovered for you; the fee is 35% before a lawsuit and 40% after. Case costs are advanced by the firm and repaid from the recovery; if nothing is recovered, you owe nothing — no fee and no costs.

Your answers go only to TEZ Law Firm.

What it costs

Settled before a lawsuit is filed	35% of the recovery
After a lawsuit is filed	40% of the recovery

No attorney's fee unless money is recovered for you. The firm advances case costs, which are repaid from the recovery; if nothing is recovered, you owe nothing — no fee and no costs. Help with your car-repair claim at no fee. After you send this form, we email you the contingency fee agreement to sign. Nothing is charged, now or later, unless money is recovered for you.

About you

First name (required)Last name (required)Phone (required)Email (required)In the accident you were the… (required)Is the injured person under 18? (required)

If so, a parent or guardian fills in this form.

The accident

Date of the accident (required)City where it happened (required)County (required)What happened? (required)Briefly, how did it happen? (required)Did the police come, or was a police report made? (required)Was a government vehicle (city, county, state, bus) or a dangerous road involved? (required)

Claims against a government must be filed within 6 months.

Was the other vehicle a commercial truck, company vehicle, or Uber / Lyft? (required)Other driver's name, if you know it (optional)Other driver's insurance company, if you know it (optional)

Injuries and treatment

Were you hurt? (required)Medical care so far (required)Your injuries and symptoms (required)Have you missed work because of the accident? (required)

Insurance and your car

Your own auto insurance company (optional)Was your car damaged? (required)Have you given a recorded statement to, or signed anything for, an insurance company? (required)Have you hired another lawyer for this accident? (required)Anything else we should know (optional)

Documents (optional)

PDF, Word, JPG, PNG or iPhone photos, up to 10 MB each and 30 MB in all. If you don't have them now, you can email them later.

Photos of the cars, the scene and your injuries (up to 8 files)Police report, or the information you exchanged with the other driver (up to 2 files)Medical records or bills (up to 5 files)Insurance cards, claim letters or repair estimates (up to 4 files)