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Workers' Compensation Contact Form

Back injuries and repetitive motion injuries such as carpel tunnel syndrome are among the most common work-related injuries for which workers' compensation benefits are paid. Contact an attorney to determine whether you have a valid claim.

What You Should Know if You Were Injured on the Job

Anyone who is injured in the service of their employer is entitled to receive workers' compensation benefits. It doesn't matter if you were on your employer's premises, and it doesn't matter if you violated a safety violation to cause the injury: you are entitled to receive workers' comp.

At Kiel & Trueax, LLC, our attorneys can help you recover it. For more information about our work comp practice, view the following pages:

To schedule a free consultation with a lawyer at Kiel & Trueax, LLC, call 303-694-2666 or contact our offices online. For detailed information about the workers' compensation law, continue reading below.

Thank you for contacting us. As appropriate, we will reply back to you as soon as possible.

Call us now

or use the form below.

Workers' Compensation Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

When were you injured or did you become sick?

Were you working at the time of the accident or harmful circumstance?
Yes  No 

For whom?

What work-related activity were you engaged in at the time you were injured?

How did the accident or harmful circumstance happen?

Were your injuries caused by tool or equipment failure or use?
Yes  No 

If your injuries were caused by tool or equipment failure or use, who manufactured, distributed and/or sold the equipment with which you were working?

When and where did you first seek medical care for your injury?

What was your diagnosis? Prognosis?

Who is your physician(s)?

Had you ever experienced similar symptoms in the past?
Yes  No 

Did the accident or harmful circumstance exacerbate a pre-existing injury?
Yes  No 

Did the injury cause you to miss work?
Yes  No 

Has your doctor authorized you to return to work?
Yes  No 

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DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

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