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Truck Crashes Information Sheet

PLEASE FILL OUT THE FORM BELOW SO WE CAN BEGIN SERVING YOU

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INFORMATION REGARDING CRASH

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How were you referred to this office?

I understand that by completing and submitting this form, Inosencio Fisk will use this information for purposes of completing a conflict of interest review, to ensure that the firm will not have a conflict of interest in the event Inosencio Fisk represents me in my truck crash case. I also understand that completion and submission of this Truck Crash Information Sheet does not form an attorney-client relationship and a separate agreement must be signed by me, and by an attorney at Inosencio Fisk, before an attorney-client relationship will be established. 

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740 W MICHIGAN AVENUE JACKSON, MI 49201

Tel: 517.796.1444 / Fax: 800.981.5130 

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