Free Workers' Compensation Settlement Evaluation

At our law firm, we understand that navigating the workers' compensation system can be challenging and confusing. That's why we're offering a free settlement evaluation for injured workers seeking guidance on the value of their cases. There is no obligation to hire us just because you use this form. We frequently receive calls from a variety of individuals, including:

• Recently injured workers: For workers who were recently injured at work and are curious about the potential settlement value of your case, our free evaluation can help provide you with insight.
• Unrepresented workers in the system: For workers who have been navigating the workers' compensation system without legal representation, our evaluation can offer guidance on how to move forward and what your case might be worth.
• Individuals seeking a second opinion: If you're currently working with a lawyer and want to explore other perspectives on the value of your case, our free evaluation can serve as a valuable second opinion.

Are you curious how a how a workers' compensation lawyer evaluates the value of a case? Check out our workers' compensation settlement guide .

We understand that time is of the essence, which is why we promise to respond to your submission within one business day. Please be aware that completing and submitting the form does not guarantee that we will accept your case. At Bourne Law Firm, we focus on the most serious workers' compensation cases and often turn down cases that billboard or TV lawyers might take on. Our goal is to maintain a manageable caseload, allowing us to devote more time and attention to each individual case. This approach enables us to concentrate on maximizing settlement value and providing exceptional client communication throughout the entire process.

Name*

Email*

Phone Number*

Preferred Method of Communication* Email Phone Call Texting

Date of the Accident*

What body parts have been injured?*

Was your workers' compensation claim accepted or denied? Choose... My claim was accepted My claim was denied

(If your claim was denied, we reccomend calling us on the phone. Denied claims often involve complicated legal issues that go beyond the scope of this form. However, even denied claims can be valuable. Speak to an experienced attorney to evaluate your case.)

Do you have lost wages because of the work injury?
(Tip: check out our guide to lost income benefits.) Select an option Yes No Unsure

At any point has your doctor taken you out of work because of your work injury? Select an option Yes No Unsure

Are you currently receiving a weekly check from workers' compensation for your lost wages? Select an option Yes No

If so, how much is your weekly check for lost wages?

Are you still receiving medical treatment? Select an option Yes No

If so, what treatments are currently being recommended by your doctor(s)?

Do you know if you have been given an impairment rating? (Don't know what an impairment rating is? Check out our handy guide on PPD ratings.) Yes No Unsure

If you know your impairment rating, please state it here:

Has the insurance company and/or employer started to pay you for the impairment rating? Yes No Unsure

Are you currently working? Select an option Yes No

If you are on work restrictions, what restrictions were you given?

Do you currently have a lawyer representing you?* Yes No

Is there anything else you think we should know about?

Submit

Disclaimer: The information provided in this form is for general informational purposes only and should not be considered legal advice. Submitting this form does not establish an attorney-client relationship, and the receipt of your submission does not constitute acceptance of your case by Bourne Law Firm. The evaluation of your case will be based on the information you provide, and any additional details may be necessary to determine the value of your claim. Please consult with an attorney for personalized advice regarding your specific situation.