Rideshare Accident Claims | Uber, Lyft Settlements & Compensation

<div class="fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload" style="--link_hover_color: var(--awb-color4);--link_color: var(--awb-color1);--awb-border-sizes-bottom:1px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:8vh;--awb-padding-bottom:6vh;--awb-background-image:radial-gradient(circle at center center, hsla(var(--awb-custom_color_1-h),var(--awb-custom_color_1-s),var(--awb-custom_color_1-l),calc(var(--awb-custom_color_1-a) - 50%)) 0%,hsla(var(--awb-custom_color_1-h),var(--awb-custom_color_1-s),var(--awb-custom_color_1-l),calc(var(--awb-custom_color_1-a) - 10%)) 80%);;--awb-background-size:cover;--awb-flex-wrap:wrap;" data-bg="https://tortadvisor.com/wp-content/uploads/2026/03/rideshare-accident-claims-uber-lyft-compensation-1024x683.jpg" data-bg-gradient="radial-gradient(circle at center center, hsla(var(--awb-custom_color_1-h),var(--awb-custom_color_1-s),var(--awb-custom_color_1-l),calc(var(--awb-custom_color_1-a) - 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These cases can be more complex than traditional car accidents due to layered insurance coverage and multiple liable parties. Depending on the circumstances, liability may involve the rideshare driver, another motorist, or the rideshare company’s insurance policy. Coverage can vary based on whether the driver was actively using the app at the time of the accident. Victims may pursue compensation for medical expenses, lost wages, and pain and suffering. Rideshare companies often carry higher insurance limits, which may impact settlement amounts in certain cases. To estimate what your case may be worth, try using a <a href="/settlement-calculators/mva-settlement-calculator/">motor vehicle accident settlement calculator</a> for a quick evaluation. You can also explore related <a href="/category/car-accident-claims/">car accident claims</a> to understand how rideshare accidents compare to standard vehicle collisions.</p> </div><div class="fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-three" style="--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;"><h3 class="fusion-title-heading title-heading-left fusion-responsive-typography-calculated" style="margin:0;--fontSize:30;line-height:var(--awb-typography2-line-height);">Updates on Rideshare Accident Claims</h3></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;"></div><div class="fusion-post-cards-archives-tb" data-instance="1" data-infinite-post-class="post" ><div class="fusion-post-cards fusion-post-cards-1 fusion-grid-archive fusion-grid-columns-1" style="--awb-column-spacing:0px;--awb-dots-align:center;--awb-columns:1;--awb-columns-small:100%;" data-post-type-label="posts"><ul class="fusion-grid fusion-grid-1 fusion-flex-align-items-flex-start fusion-grid-posts-cards"><li class="fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion-flex-column post-card fusion-grid-column fusion-post-cards-grid-column" style="--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-flex-grow-small:;--awb-flex-shrink-small:;"><div class="fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap" style="--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_3 1_3 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-classic-product-image-wrapper fusion-woo-product-image fusion-post-card-image fusion-post-card-image-1 has-aspect-ratio" data-layout="static" 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class="fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_2_3 2_3 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-five" style="--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-link-color:var(--awb-color8);--awb-link-hover-color:var(--awb-color5);--awb-font-size:30px;"><h5 class="fusion-title-heading title-heading-left fusion-responsive-typography-calculated" style="margin:0;font-size:1em;--fontSize:30;line-height:var(--awb-typography1-line-height);"><a href="https://tortadvisor.com/rideshare-sexual-assault-lawsuit-2026/" class="awb-custom-text-color awb-custom-text-hover-color" target="_self">Rideshare Sexual Assault Lawsuit 2026: Alarming MDL Update, Settlement Amounts & How to File</a></h5></div><div class="fusion-meta-tb fusion-meta-tb-1 stacked" style="--awb-border-bottom:0px;--awb-height:30px;--awb-padding-bottom:10px;--awb-padding-top:10px;--awb-text-color:var(--awb-color7);--awb-alignment-medium:flex-start;--awb-alignment-small:flex-start;"><span class="fusion-tb-published-date">Published On: May 15, 2026</span><span class="fusion-meta-tb-sep"></span><span class="fusion-tb-categories">Categories: <a href="https://tortadvisor.com/personal-injury-claims/motor-vehicle-accident-claims/rideshare-accident-claims/" rel="category tag">Rideshare Accident Claims</a>, <a href="https://tortadvisor.com/sexual-abuse-lawsuits/rideshare-sexual-assault/" rel="category tag">Rideshare Sexual Assault</a></span><span class="fusion-meta-tb-sep"></span><span class="fusion-tb-author">By <span><a href="https://tortadvisor.com/author/editorial-team/" title="Posts by The TortAdvisor Editorial Team" rel="author">The TortAdvisor Editorial Team</a></span></span><span class="fusion-meta-tb-sep"></span></div><div class="fusion-content-tb fusion-content-tb-1" style="--awb-text-color:var(--awb-color6);--awb-margin-bottom:0px;--awb-margin-top:5px;--awb-text-transform:none;"><p>Rideshare sexual assault lawsuit 2026 guide covering Uber and Lyft MDL updates, eligibility, settlement amounts from $20K–$2M+, and step-by-step filing instructions. Free review: 1 (855) 664-8713.</p></div></div></div></div></div></li> <li class="fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion-flex-column post-card fusion-grid-column fusion-post-cards-grid-column" style="--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-flex-grow-small:;--awb-flex-shrink-small:;"><div class="fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap" style="--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_3 1_3 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-classic-product-image-wrapper fusion-woo-product-image fusion-post-card-image fusion-post-card-image-1 has-aspect-ratio" data-layout="static" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-aspect-ratio:3 / 2;"><div class="fusion-image-wrapper" aria-haspopup="true"> <a href="https://tortadvisor.com/lyft-accident-attorney-near-me/" aria-label="Don’t Get Taken for a Ride! 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Find out what to do & connect with a top Lyft accident attorney near me to get justice.</p></div></div></div></div></div></li> </ul></div></div></div></div><div class="fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_3 1_3 fusion-flex-column" style="--awb-padding-bottom:60px;--awb-padding-left:40px;--awb-bg-size:cover;--awb-border-color:var(--awb-color3);--awb-border-left:1px;--awb-border-style:solid;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:-40px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-margin-top-small:0px;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" 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action="https://tortadvisor.com/rideshare-sexual-assault-lawsuit-2026/" target="_self" method="post" class="fusion-form fusion-form-10923"><div class="awb-form-step active" data-final="0" data-step="1"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling custom-form-style " style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-7 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-8 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left 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defer></script> <div class="fusion-title title fusion-title-9 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:18px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:18;--minFontSize:18;line-height:1.1;">Describe the type of accident you were in</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-_what_best_describes_the_type_of_accident_you_were_in-1-0" type="radio" value="Car Accident" name="_what_best_describes_the_type_of_accident_you_were_in" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-_what_best_describes_the_type_of_accident_you_were_in-1-0">Car Accident</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-_what_best_describes_the_type_of_accident_you_were_in-1-1" type="radio" value="Pedestrian or Bicycle Accident" name="_what_best_describes_the_type_of_accident_you_were_in" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-_what_best_describes_the_type_of_accident_you_were_in-1-1">Pedestrian or Bicycle Accident</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-_what_best_describes_the_type_of_accident_you_were_in-1-2" type="radio" value="Motorcycle Accident" name="_what_best_describes_the_type_of_accident_you_were_in" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-_what_best_describes_the_type_of_accident_you_were_in-1-2">Motorcycle Accident</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-_what_best_describes_the_type_of_accident_you_were_in-1-3" type="radio" value="Ride Share (Uber/Lyft) Accident" name="_what_best_describes_the_type_of_accident_you_were_in" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-_what_best_describes_the_type_of_accident_you_were_in-1-3">Ride Share (Uber/Lyft) Accident</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-_what_best_describes_the_type_of_accident_you_were_in-1-4" type="radio" value="Accident with Government Vehicle" name="_what_best_describes_the_type_of_accident_you_were_in" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-_what_best_describes_the_type_of_accident_you_were_in-1-4">Accident with Government Vehicle</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-_what_best_describes_the_type_of_accident_you_were_in-1-5" type="radio" value="Trucking Accident" name="_what_best_describes_the_type_of_accident_you_were_in" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-_what_best_describes_the_type_of_accident_you_were_in-1-5">Trucking Accident</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-2 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-margin-bottom:-10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Continue</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div></div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="2"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-10 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-11 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-12 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:19px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:19;--minFontSize:19;line-height:1.1;">Where did the accident or injury occur?</p></div><div class="fusion-form-field fusion-form-select-field fusion-form-label-above state" style="" data-form-id="10923"><div class="fusion-select-wrapper"><select autocomplete="off" tabindex="" id="state" name="state" class="fusion-form-input" data-holds-private-data="false"><option value="" disabled selected>Select State</option><option value="AL" >Alabama</option><option value="AK" >Alaska</option><option value="AZ" >Arizona</option><option value="AR" >Arkansas</option><option value="CA" >California</option><option value="CO" >Colorado</option><option value="CT" >Connecticut</option><option value="DE" >Delaware</option><option value="DC" >District Of Columbia</option><option value="FL" >Florida</option><option value="GA" >Georgia</option><option value="HI" >Hawaii</option><option value="ID" >Idaho</option><option value="IL" >Illinois</option><option value="IN" >Indiana</option><option value="IA" >Iowa</option><option value="KS" >Kansas</option><option value="KY" >Kentucky</option><option value="LA" >Louisiana</option><option value="ME" >Maine</option><option value="MD" >Maryland</option><option value="MA" >Massachusetts</option><option value="MI" >Michigan</option><option value="MN" >Minnesota</option><option value="MS" >Mississippi</option><option value="MO" >Missouri</option><option value="MT" >Montana</option><option value="NE" >Nebraska</option><option value="NV" >Nevada</option><option value="NH" >New Hampshire</option><option value="NJ" >New Jersey</option><option value="NM" >New Mexico</option><option value="NY" >New York</option><option value="NC" >North Carolina</option><option value="ND" >North Dakota</option><option value="OH" >Ohio</option><option value="OK" >Oklahoma</option><option value="OR" >Oregon</option><option value="PA" >Pennsylvania</option><option value="RI" >Rhode Island</option><option value="SC" >South Carolina</option><option value="SD" >South Dakota</option><option value="TN" >Tennessee</option><option value="TX" >Texas</option><option value="UT" >Utah</option><option value="VT" >Vermont</option><option value="VA" >Virginia</option><option value="WA" >Washington</option><option value="WV" >West Virginia</option><option value="WI" >Wisconsin</option><option value="WY" >Wyoming</option></select><div class="select-arrow"><svg width="12" height="8" viewBox="0 0 12 8" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M1.5 1.75L6 6.25L10.5 1.75" stroke="#6D6D6D" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"/> </svg></div></div></div><div class="fusion-form-field fusion-form-phone-number-field fusion-form-label-above" style="" data-form-id="10923"><input type="tel" autocomplete="off" pattern="\d{5}" data-invalid-notice="Enter a 5-digit ZIP code (e.g., 90210)" name="zip" id="zip" value="" class="fusion-form-input" required="true" aria-required="true" placeholder="Zip Code *" data-holds-private-data="false"/></div> <div class="fusion-title title fusion-title-13 fusion-no-small-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-top:20px;--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">City where the injury occurred</p></div><div class="fusion-form-field fusion-form-text-field fusion-form-label-above" style="" data-form-id="10923"><input type="text" autocomplete="off" name="city_where_the_injury_occurred" id="city_where_the_injury_occurred" value="" class="fusion-form-input" placeholder="eg: New York City " data-holds-private-data="false" minlength="0"/></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-3 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-4 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="3"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-14 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-15 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-16 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Who was hurt in the accident?</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-who_was_hurt_in_the_accident-2-0" type="radio" value="I was hurt" name="who_was_hurt_in_the_accident" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-who_was_hurt_in_the_accident-2-0">I was hurt</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-who_was_hurt_in_the_accident-2-1" type="radio" value="A loved one was hurt" name="who_was_hurt_in_the_accident" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-who_was_hurt_in_the_accident-2-1">A loved one was hurt</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-who_was_hurt_in_the_accident-2-2" type="radio" value="We were both hurt" name="who_was_hurt_in_the_accident" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-who_was_hurt_in_the_accident-2-2">We were both hurt</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-who_was_hurt_in_the_accident-2-3" type="radio" value="No one was hurt" name="who_was_hurt_in_the_accident" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-who_was_hurt_in_the_accident-2-3">No one was hurt</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-5 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-6 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="4"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-17 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-18 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-19 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:18px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:18;--minFontSize:18;line-height:1.1;">Did the injured person receive treatment?</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-did_the_injured_person_receive_treatment-3-0" type="radio" value="Treated at a hospital" name="did_the_injured_person_receive_treatment" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-did_the_injured_person_receive_treatment-3-0">Treated at a hospital</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-did_the_injured_person_receive_treatment-3-1" type="radio" value="Treated at a doctors' office" name="did_the_injured_person_receive_treatment" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-did_the_injured_person_receive_treatment-3-1">Treated at a doctors' office</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-did_the_injured_person_receive_treatment-3-2" type="radio" value="Was not treated" name="did_the_injured_person_receive_treatment" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-did_the_injured_person_receive_treatment-3-2">Was not treated</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-7 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-8 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="5"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-5 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-20 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-21 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-22 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Estimated Medical Bills</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-estimated_medical_bills-4-0" type="radio" value="Less than $1,000" name="estimated_medical_bills" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-estimated_medical_bills-4-0">Less than $1,000</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-estimated_medical_bills-4-1" type="radio" value="$,1000 - $5,000" name="estimated_medical_bills" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-estimated_medical_bills-4-1">$,1000 - $5,000</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-estimated_medical_bills-4-2" type="radio" value="$5,000 - $25,000" name="estimated_medical_bills" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-estimated_medical_bills-4-2">$5,000 - $25,000</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-estimated_medical_bills-4-3" type="radio" value="$25,000 - $100,000" name="estimated_medical_bills" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-estimated_medical_bills-4-3">$25,000 - $100,000</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-estimated_medical_bills-4-4" type="radio" value="More than $100,000" name="estimated_medical_bills" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-estimated_medical_bills-4-4">More than $100,000</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-estimated_medical_bills-4-5" type="radio" value="Don't know yet" name="estimated_medical_bills" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-estimated_medical_bills-4-5">Don't know yet</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-9 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-10 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="6"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-6 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-23 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-24 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-25 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Was a police report filed?</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-was_a_police_report_filed-5-0" type="radio" value="Yes" name="was_a_police_report_filed" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-was_a_police_report_filed-5-0">Yes</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-was_a_police_report_filed-5-1" type="radio" value="No" name="was_a_police_report_filed" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-was_a_police_report_filed-5-1">No</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-11 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-12 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="7"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-7 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-26 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-27 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-28 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:17px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:17;--minFontSize:17;line-height:1.1;">Did the police report say you are at fault?</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-did_the_police_report_say_you_are_at_fault-6-0" type="radio" value="No" name="did_the_police_report_say_you_are_at_fault" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-did_the_police_report_say_you_are_at_fault-6-0">No</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-did_the_police_report_say_you_are_at_fault-6-1" type="radio" value="Yes" name="did_the_police_report_say_you_are_at_fault" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-did_the_police_report_say_you_are_at_fault-6-1">Yes</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-did_the_police_report_say_you_are_at_fault-6-2" type="radio" value="Both at fault" name="did_the_police_report_say_you_are_at_fault" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-did_the_police_report_say_you_are_at_fault-6-2">Both at fault</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-13 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-14 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="8"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-8 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;--awb-flex-wrap-medium:nowrap;--awb-flex-wrap-small:nowrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-25 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-29 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-30 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-26 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-31 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:17px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:17;--minFontSize:17;line-height:1.1;">Are you currently represented by a lawyer?</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-are_you_currently_represented_by_a_lawyer_for_this_case-7-0" type="radio" value="No" name="are_you_currently_represented_by_a_lawyer_for_this_case" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-are_you_currently_represented_by_a_lawyer_for_this_case-7-0">No</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-are_you_currently_represented_by_a_lawyer_for_this_case-7-1" type="radio" value="Yes" name="are_you_currently_represented_by_a_lawyer_for_this_case" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-are_you_currently_represented_by_a_lawyer_for_this_case-7-1">Yes</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-are_you_currently_represented_by_a_lawyer_for_this_case-7-2" type="radio" value="I was, but not anymore" name="are_you_currently_represented_by_a_lawyer_for_this_case" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-are_you_currently_represented_by_a_lawyer_for_this_case-7-2">I was, but not anymore</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-15 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-16 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="9"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-9 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-27 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-32 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-33 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-28 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-34 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">When did the accident happen?</p></div><div class="fusion-form-field fusion-form-radio-field fusion-form-label-above auto-skip" style="" data-form-id="10923"><fieldset><div class="fusion-form-radio"><input tabindex="" id="radio-when_did_the_accident_happen-8-0" type="radio" value="Within the last 30 days" name="when_did_the_accident_happen" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-when_did_the_accident_happen-8-0">Within the last 30 days</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-when_did_the_accident_happen-8-1" type="radio" value="Within the last year" name="when_did_the_accident_happen" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-when_did_the_accident_happen-8-1">Within the last year</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-when_did_the_accident_happen-8-2" type="radio" value="Within the last 2 years" name="when_did_the_accident_happen" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-when_did_the_accident_happen-8-2">Within the last 2 years</label></div><div class="fusion-form-radio"><input tabindex="" id="radio-when_did_the_accident_happen-8-3" type="radio" value="More than 2 years" name="when_did_the_accident_happen" class="fusion-form-input" data-holds-private-data="false"/><label for="radio-when_did_the_accident_happen-8-3">More than 2 years</label></div></fieldset></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-17 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-18 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="10"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-10 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-29 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-35 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-36 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-30 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-37 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">What is the primary injury?</p></div><div class="fusion-form-field fusion-form-select-field fusion-form-label-above" style="" data-form-id="10923"><div class="fusion-select-wrapper"><select autocomplete="off" tabindex="" id="what_is_the_primary_injury" name="what_is_the_primary_injury" class="fusion-form-input" data-holds-private-data="false"><option value="" disabled selected>Choose One</option><option value="Anxiety and Emotional Suffering" >Anxiety and Emotional Suffering</option><option value="Back or Neck Pain" >Back or Neck Pain</option><option value="Headache" >Headache</option><option value="Broken bones" >Broken bones</option><option value="Whiplash" >Whiplash</option><option value="Memory Loss" >Memory Loss</option><option value="Brain injury" >Brain injury</option><option value="Lost of Limb" >Lost of Limb</option><option value="Paralysis" >Paralysis</option><option value="Loss of life" >Loss of life</option><option value="Other Inury" >Other Inury</option></select><div class="select-arrow"><svg width="12" height="8" viewBox="0 0 12 8" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M1.5 1.75L6 6.25L10.5 1.75" stroke="#6D6D6D" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"/> </svg></div></div></div><div class="fusion-form-field fusion-form-submit-field fusion-form-label-above" style="" data-form-id="10923"><div style="text-align:center;"><button type="submit" class="fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-19 fusion-button-span-yes button-default form-form-submit" style="--awb-margin-top:10px;--awb-padding-top:20px;--awb-padding-bottom:20px;" data-form-number="10923" tabindex=""><span class="fusion-button-text awb-button__text awb-button__text--default">Next Step</span><i class="fa-angle-right fas awb-button__icon awb-button__icon--default button-icon-right" aria-hidden="true"></i></button></div></div> <div style="text-align:center;"><a class="fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-20 fusion-button-default-span fusion-button-default-type" style="--awb-padding-top:10px;--awb-padding-right:0px;--awb-padding-bottom:10px;--awb-padding-left:0px;--button_accent_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_border_color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:rgba(255,255,255,0);--button_gradient_bottom_color:rgba(255,255,255,0);--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);--button_font_size:14px;" target="_self" href="#previousStep"><span class="fusion-button-text awb-button__text awb-button__text--default">Previous Step</span></a></div> </div></div></div></div></div><div class="awb-form-step" data-final="0" data-step="11"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6-11 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form_default" style="--awb-border-radius-top-left:8px;--awb-border-radius-top-right:8px;--awb-border-radius-bottom-right:8px;--awb-border-radius-bottom-left:8px;--awb-overflow:hidden;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap" style="width:104% !important;max-width:104% !important;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-31 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column"><div class="fusion-title title fusion-title-38 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-custom_color_3);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:35px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:700;margin:0;text-transform:uppercase;font-size:1em;--fontSize:35;line-height:1.1;">Speak to a motor vehicle accident expert immediately</p></div><div class="fusion-title title fusion-title-39 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color8);--awb-margin-top:0px;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:200;margin:0;text-transform:capitalize;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Please complete intake survey for free review</p></div><div class="fusion-separator fusion-full-width-sep" style="align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:30px;width:100%;"><div class="fusion-separator-border sep-single sep-solid" style="--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),var(--awb-color3-s),calc(var(--awb-color3-l) - 5%),var(--awb-color3-a));border-top-width:1px;"></div></div></div></div> <div class="fusion-layout-column fusion_builder_column fusion-builder-column-32 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-stretch" style="--awb-padding-bottom:30px;--awb-bg-position:left center;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;" data-scroll-devices="small-visibility,medium-visibility,large-visibility"><div class="fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column"><div class="fusion-title title fusion-title-40 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph" style="--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;"><p class="fusion-title-heading title-heading-center title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:600;margin:0;letter-spacing:-0.015em;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.1;">Describe How You Were Injured</p></div><div class="fusion-form-field fusion-form-textarea-field fusion-form-label-above message" style="" data-form-id="10923"><textarea cols="40" autocomplete="off" minlength="0" maxlength="1000" rows="5" tabindex="" id="describe_how_you_were_injured" name="describe_how_you_were_injured" class="fusion-form-input" placeholder="Describe how the accident happened, your injuries, and any medical treatment received. " data-holds-private-data="false">

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