Los Angeles Personal Injury Law Firm
Free Case Consultation

Request a Free Case Evaluation

Start with our law firm. Ardalan & Associates, PLC

Every client has a unique story, and at Ardalan & Associates, we're here to listen. Start off by giving us some basic information about your case. We'll be more than happy to discuss what happened and help make you whole again.

Other law firms often refer us their clients or partner with us to maximize recovery. You can start with us. We'll begin fighting for you on day one and go the distance to help restore your dignity and quality of life.

Fill out this form to request a free case evaluation with our firm. Note that doing so does not create an attorney-client relationship.

All fields marked with an asterisk (*) are required.

Full Name*
Date of Birth
Street Address*
Zip Code*
Home Phone*
Other Phone
Marital Status
Name of Spouse
Case Overview
City Injured In
State Injured In
Name & Address of Persons or Entities You Feel
Caused This Injury
Description of Injuries
Description of Treatment
Still Being Treated
If Yes, What Kind of Treatment Are You Now Getting
And/Or Do You Anticipate in the Future?
Approximate Cost of Medical Bills
Were You Forced To Miss Work?
Approximate Amount of Lost Wages or Benefits
Were You Contacted By An Insurance Company?
Description of Insurance Company Contact
Are You In Contact With Another Lawyer?
If So, Please Provide the Attorney's Name, Address
and Phone Number


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