Law Firm Intake Survey

See if you have a case with our proprietary AI model

We’ve programmed in millions of case datapoints to help estimate whether you might have a case. There’s no obligation and it’s 100% free. Find out how much money you might be entitled to* in minutes.

Preliminary score based on your facts & evidence

Fast, secure, and free to use

Upload photos, bills, or reports (optional)

A licensed attorney will still review your submission

* Estimates are informational only and not guarantees. This tool is for quick triage and not legal advice. See full disclaimer below.

When and where did it happen?

Incident date (approx ok)

City

State

Was a police/incident report filed?

Who do you believe was at fault?

Were there witnesses?

Please complete the required fields.

Injuries & treatment

Were you injured?

Type of injuries

Have you seen a doctor or hospital?

Are you still receiving treatment?

Approx medical costs so far (optional)

Insurance & context

Did this happen while working?

Have you spoken with any insurance company?

Have you already hired an attorney for this matter?

Upload photos, videos, or documents (optional)

Dash cam, scene photos, medical bills, police reports… (JPG/PNG, MP4/MOV, PDF). Max ~50MB each.

Drag & drop files here or

Selected files are listed below before submission.

Your contact info

Full name

Phone

Email

Preferred contact

I authorize the firm to review my submission for a free consultation.

Please complete name, phone, email and consent.

Submitting this form does not create an attorney-client relationship. Do not include highly sensitive information.

Summary & preliminary assessment

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Calculating preliminary case strength…

Why this score

Strengths

Watch-outs

What’s missing

This automated assessment is for quick triage only and is not legal advice. A licensed attorney will review your case.