AFFF Firefighting Foam Lawsuit | PFAS Claims & 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/afff-firefighting-foam-lawsuit-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) - 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%)" id="form" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap" style="max-width:1456px;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:62%;--awb-spacing-right-large:3.0967741935484%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.0967741935484%;--awb-width-medium:62%;--awb-order-medium:0;--awb-spacing-right-medium:3.0967741935484%;--awb-spacing-left-medium:3.0967741935484%;--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-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two" style="--awb-text-color:var(--awb-color1);--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;"><h2 class="fusion-title-heading title-heading-left fusion-responsive-typography-calculated" style="margin:0;text-transform:uppercase;--fontSize:40;line-height:1.1;">AFFF Firefighting Foam Lawsuit</h2></div><div class="fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-paragraph" style="--awb-text-color:var(--awb-color1);--awb-margin-top:20px;--awb-margin-right:5%;--awb-margin-bottom:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:22px;"><p class="fusion-title-heading title-heading-left title-heading-tag fusion-responsive-typography-calculated" style="font-family:"Roboto";font-style:normal;font-weight:500;margin:0;text-transform:capitalize;font-size:1em;--fontSize:22;--minFontSize:22;line-height:1.25;"></p></div></div></div></div></div> </section> <main id="main" class="clearfix "> <div class="fusion-row" style=""> <section id="content" style=""> <div class="post-content"> <div class="fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling" style="--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:8vh;--awb-flex-wrap:wrap;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap" style="max-width:1456px;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_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%;" 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-text fusion-text-2"><p>AFFF firefighting foam lawsuit guides covering PFAS cancer risks, military exposure claims, settlement estimates, and eligibility requirements.</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 AFFF Firefighting Foam Lawsuit</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" 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/afff-lawsuit-settlement-amounts/" aria-label="Breaking Down AFFF Lawsuit Settlements Without the Legalese"> <img decoding="async" width="1536" height="1024" src="https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image.jpg" class="attachment-full size-full lazyload wp-post-image" alt="AFFF firefighting foam lawsuit - PFAS cancer claims for veterans and firefighters 2026" srcset="data:image/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271536%27%20height%3D%271024%27%20viewBox%3D%270%200%201536%201024%27%3E%3Crect%20width%3D%271536%27%20height%3D%271024%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E" data-orig-src="https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image.jpg" data-srcset="https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image-200x133.jpg 200w, https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image-400x267.jpg 400w, https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image-600x400.jpg 600w, https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image-800x533.jpg 800w, https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image-1200x800.jpg 1200w, https://tortadvisor.com/wp-content/uploads/2025/08/afff-lawsuit-settlement-amounts-image.jpg 1536w" data-sizes="auto" /> </a> </div> </div></div></div><div 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/afff-lawsuit-settlement-amounts/" class="awb-custom-text-color awb-custom-text-hover-color" target="_self">Breaking Down AFFF Lawsuit Settlements Without the Legalese</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: August 11, 2025</span><span class="fusion-meta-tb-sep"></span><span class="fusion-tb-categories">Categories: <a href="https://tortadvisor.com/mass-tort-lawsuits/afff-firefighting-foam-lawsuit/" rel="category tag">AFFF Firefighting Foam Lawsuit</a>, <a href="https://tortadvisor.com/mass-tort-lawsuits/" rel="category tag">Mass Tort Lawsuits</a>, <a href="https://tortadvisor.com/pfas/" rel="category tag">PFAS</a></span><span class="fusion-meta-tb-sep"></span><span class="fusion-tb-author">By <span><a href="https://tortadvisor.com/author/masonarnao/" title="Posts by Mason Arnao" rel="author">Mason Arnao</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>Breaking down afff lawsuit settlement amounts: See estimated payouts, eligibility, and key factors. Get expert legal help today.</p></div></div></div></div></div></li> </ul></div></div></div></div><div class="fusion-layout-column fusion_builder_column fusion-builder-column-7 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%;" 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-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-four" style="--awb-margin-top:30px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;"><h4 class="fusion-title-heading title-heading-left fusion-responsive-typography-calculated" style="margin:0;text-transform:capitalize;--fontSize:24;line-height:var(--awb-typography1-line-height);">Filter Posts</h4></div><div class="fusion-search-element fusion-search-element-1 fusion-search-form-clean"> <form role="search" class="searchform fusion-search-form fusion-live-search fusion-search-form-clean" method="get" action="https://tortadvisor.com/"> <div class="fusion-search-form-content"> <div class="fusion-search-field search-field"> <label><span class="screen-reader-text">Search for:</span> <input type="search" class="s fusion-live-search-input" name="s" id="fusion-live-search-input-0" autocomplete="off" placeholder="Search..." required aria-required="true" aria-label="Search..."/> </label> </div> <div class="fusion-search-button search-button"> <input type="submit" class="fusion-search-submit searchsubmit" aria-label="Search" value="" /> <div class="fusion-slider-loading"></div> </div> <input type="hidden" name="post_type[]" value="any" /><input type="hidden" name="search_limit_to_post_titles" value="0" /><input type="hidden" name="add_woo_product_skus" value="0" /><input type="hidden" name="live_min_character" value="4" /><input type="hidden" name="live_posts_per_page" value="20" /><input type="hidden" name="live_search_display_featured_image" value="0" /><input type="hidden" name="live_search_display_post_type" value="0" /><input type="hidden" name="fs" value="1" /> </div> <div class="fusion-search-results-wrapper"><div class="fusion-search-results"></div></div> </form> </div><div class="fusion-text fusion-text-3"><div class="blog-category-filter" style="margin-top:15px;"> <p><strong>Browse by Category</strong></p> <p><select onchange="if(this.value)window.location.href=this.value;" style="width:100%;padding:8px;border:1px solid #ddd;border-radius:4px;font-size:14px;"><option value="">All Categories</option><option value="https://tortadvisor.com/mass-tort-lawsuits/afff-firefighting-foam-lawsuit/">AFFF Firefighting Foam Lawsuit (1)</option><option value="https://tortadvisor.com/mass-tort-lawsuits/bair-hugger-lawsuit/">Bair Hugger Lawsuit (3)</option><option value="https://tortadvisor.com/personal-injury-claims/motor-vehicle-accident-claims/car-accident-claims/">Car Accident Claims (21)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/child-sexual-abuse/">CHILD SEXUAL ABUSE (12)</option><option value="https://tortadvisor.com/mass-tort-lawsuits/depo-provera-lawsuit/">Depo-Provera Lawsuit (32)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/detention-center-sexual-abuse/">Detention Center Sexual Abuse (1)</option><option value="https://tortadvisor.com/mass-tort-lawsuits/hair-relaxer-lawsuit/">Hair Relaxer Lawsuit (4)</option><option value="https://tortadvisor.com/hormone-therapy/">Hormone Therapy (1)</option><option value="https://tortadvisor.com/legal-settlements-compensation/">Legal Settlements & Compensation (7)</option><option value="https://tortadvisor.com/mass-tort-lawsuits/">Mass Tort Lawsuits (155)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/medical-sexual-abuse/">Medical Sexual Abuse (1)</option><option value="https://tortadvisor.com/mass-tort-lawsuits/mesothelioma-lawsuit/">Mesothelioma Lawsuit (2)</option><option value="https://tortadvisor.com/personal-injury-claims/motor-vehicle-accident-claims/">Motor Vehicle Accident Claims (24)</option><option value="https://tortadvisor.com/paraquat/">Paraquat (1)</option><option value="https://tortadvisor.com/personal-injury-attorney/">Personal Injury Attorney (16)</option><option value="https://tortadvisor.com/personal-injury-claims/">Personal Injury Claims (8)</option><option value="https://tortadvisor.com/pfas/">PFAS (13)</option><option value="https://tortadvisor.com/product-injury-lawyer/">Product Injury Lawyer (2)</option><option value="https://tortadvisor.com/personal-injury-claims/product-liability-claims/">Product Liability Claims (8)</option><option value="https://tortadvisor.com/personal-injury-claims/motor-vehicle-accident-claims/rideshare-accident-claims/">Rideshare Accident Claims (2)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/rideshare-sexual-assault/">Rideshare Sexual Assault (12)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/roblox-sexual-abuse-lawsuit/">Roblox Sexual Abuse Lawsuit (4)</option><option value="https://tortadvisor.com/mass-tort-lawsuits/roundup-lawsuit/">Roundup Lawsuit (11)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/school-sexual-abuse/">School Sexual Abuse (1)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/">Sexual Abuse Lawsuits (13)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/snapchat-sexual-abuse-lawsuit/">Snapchat Sexual Abuse Lawsuit (4)</option><option value="https://tortadvisor.com/personal-injury-claims/ssdi-claims/">SSDI Claims (28)</option><option value="https://tortadvisor.com/talcum-powder/">Talcum Powder (4)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/school-sexual-abuse/teacher-sexual-abuse/">Teacher Sexual Abuse (1)</option><option value="https://tortadvisor.com/personal-injury-claims/motor-vehicle-accident-claims/truck-accident-claims/">Truck Accident Claims (1)</option><option value="https://tortadvisor.com/video-game-addiction/">Video Game Addiction (5)</option><option value="https://tortadvisor.com/wildfires/">Wildfires (13)</option><option value="https://tortadvisor.com/sexual-abuse-lawsuits/workplace-sexual-harassment/">Workplace Sexual Harassment & Assault (1)</option><option value="https://tortadvisor.com/mass-tort-lawsuits/world-trade-center-claims/">World Trade Center (1)</option></select></div> </div></div></div></div></div> </div> </section> </div>  </main>  <div class="fusion-tb-footer fusion-footer"><div class="fusion-footer-widget-area fusion-widget-area"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling" style="--link_color: var(--awb-color1);--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-background-color:var(--awb-custom_color_1);--awb-flex-wrap:wrap;" ><div class="awb-background-mask" style="background-image: url(data:image/svg+xml;utf8,%3Csvg%20width%3D%221920%22%20height%3D%22954%22%20fill%3D%22none%22%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%3E%3Cg%20clip-path%3D%22url%28%23prefix__clip0_58_109%29%22%20fill%3D%22rgba%2871%2C71%2C71%2C1%29%22%3E%3Cpath%20d%3D%22M1020.86%20519.766c6.47-11.566%2022.45-20.942%2035.71-20.942h375.02c30.93%200%2043.77%2021.877%2028.68%2048.863L1204.02%201006H749l271.86-486.234zM1755.66%20419.989c6.47-11.664%2022.45-21.12%2035.7-21.12h391.65c26.5%200%2037.5%2018.912%2024.57%2042.24L1923%20954h-463.62l296.28-534.011z%22%2F%3E%3Cpath%20d%3D%22M1371.86%20126.941c6.47-11.565%2022.46-20.941%2035.71-20.941h376.02c30.93%200%2043.77%2021.877%2028.68%2048.863L1371%20954H914.98l456.88-827.059z%22%2F%3E%3C%2Fg%3E%3Cdefs%3E%3CclipPath%20id%3D%22prefix__clip0_58_109%22%3E%3Cpath%20fill%3D%22%23fff%22%20d%3D%22M0%200h1920v954H0z%22%2F%3E%3C%2FclipPath%3E%3C%2Fdefs%3E%3C%2Fsvg%3E);opacity: 0.4 ;transform: scale(1, 1);mix-blend-mode:normal;"></div><div class="fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap" style="max-width:1456px;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column" style="--awb-padding-bottom:32px;--awb-bg-size:cover;--awb-border-color:var(--awb-color4);--awb-border-color-hover:var(--awb-color5);--awb-border-top:0px;--awb-border-right:0px;--awb-border-bottom:0px;--awb-border-left:0px;--awb-border-style:solid;--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:60%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.2%;--awb-spacing-left-medium:3.2%;--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="ta-newsletter-wrapper"><h3 class="ta-newsletter-title">Join Our Newsletter</h3><p class="ta-newsletter-subtitle">Get the latest legal news, lawsuit updates, and your rights — delivered free to your inbox.</p><div class="forminator-ui forminator-custom-form forminator-custom-form-23698 forminator-design--default forminator_ajax" data-forminator-render="0" data-form="forminator-module-23698" data-uid="6a7fdcdf7678a"><br/></div><form id="forminator-module-23698" class="forminator-ui forminator-custom-form forminator-custom-form-23698 forminator-design--default forminator_ajax" method="post" data-forminator-render="0" data-form-id="23698" data-color-option="theme" data-design="default" data-grid="open" style="display: none;" data-uid="6a7fdcdf7678a" ><div role="alert" aria-live="polite" class="forminator-response-message forminator-error" aria-hidden="true"></div><div class="forminator-row"><div id="name-1" class="forminator-field-name forminator-col forminator-col-12 "><div class="forminator-field"><label for="forminator-field-name-1_6a7fdcdf7678a" id="forminator-field-name-1_6a7fdcdf7678a-label" class="forminator-label">First Name <span class="forminator-required">*</span></label><input type="text" name="name-1" value="" placeholder="" id="forminator-field-name-1_6a7fdcdf7678a" class="forminator-input forminator-name--field" aria-required="true" autocomplete="name" /></div></div></div><div class="forminator-row"><div id="email-1" class="forminator-field-email forminator-col forminator-col-12 "><div class="forminator-field"><label for="forminator-field-email-1_6a7fdcdf7678a" id="forminator-field-email-1_6a7fdcdf7678a-label" class="forminator-label">Email Address <span class="forminator-required">*</span></label><input type="email" name="email-1" value="" placeholder="" id="forminator-field-email-1_6a7fdcdf7678a" class="forminator-input forminator-email--field" data-required="true" aria-required="true" autocomplete="email" /></div></div></div><div class="forminator-row forminator-hidden"><div id="hidden-1" class="forminator-field-hidden forminator-col-12 "><input type="hidden" id="hidden-1_6a7fdcdf7678a" name="hidden-1" value="207.46.13.36" /></div></div><input type="hidden" name="referer_url" value="" /><div class="forminator-row forminator-row-last"><div class="forminator-col"><div class="forminator-field"><button class="forminator-button forminator-button-submit">Subscribe</button></div></div></div><input type="hidden" id="forminator_nonce" name="forminator_nonce" value="dd23bd8e38" /><input type="hidden" name="_wp_http_referer" value="/mass-tort-lawsuits/afff-firefighting-foam-lawsuit/" /><input type="hidden" name="form_id" value="23698"><input type="hidden" name="page_id" value="13337"><input type="hidden" name="form_type" value="default"><input type="hidden" name="current_url" value="https://tortadvisor.com/afff-lawsuit-settlement-amounts/"><input type="hidden" name="render_id" value="0"><input type="hidden" name="action" value="forminator_submit_form_custom-forms"></form></div><div class="fusion-social-links fusion-social-links-1" style="--awb-margin-top:10px;--awb-margin-right:0px;--awb-margin-bottom:0px;--awb-margin-left:0px;--awb-margin-top-small:32px;--awb-alignment:center;--awb-box-border-top:0px;--awb-box-border-right:0px;--awb-box-border-bottom:0px;--awb-box-border-left:0px;--awb-icon-colors-hover:var(--awb-color1);--awb-box-colors-hover:hsla(var(--awb-color5-h),var(--awb-color5-s),calc(var(--awb-color5-l) + 5%),var(--awb-color5-a));--awb-box-border-color:var(--awb-color5);--awb-box-border-color-hover:hsla(var(--awb-color5-h),var(--awb-color5-s),calc(var(--awb-color5-l) + 5%),var(--awb-color5-a));--awb-alignment-small:center;"><div class="fusion-social-networks boxed-icons color-type-custom"><div class="fusion-social-networks-wrapper"><a class="fusion-social-network-icon fusion-tooltip fusion-facebook awb-icon-facebook" style="color:var(--awb-color2);font-size:16px;width:16px;background-color:var(--awb-color5);border-color:var(--awb-color5);border-radius:4px;" data-placement="top" data-title="Facebook" data-toggle="tooltip" title="Facebook" aria-label="facebook" target="_blank" rel="noopener noreferrer" href="https://www.facebook.com/tortadvisor"></a><a class="fusion-social-network-icon fusion-tooltip fusion-twitter awb-icon-twitter" style="color:var(--awb-color2);font-size:16px;width:16px;background-color:var(--awb-color5);border-color:var(--awb-color5);border-radius:4px;" data-placement="top" data-title="X" data-toggle="tooltip" title="X" aria-label="twitter" target="_blank" rel="noopener noreferrer" href="https://x.com/tortadvisor"></a><a class="fusion-social-network-icon fusion-tooltip fusion-instagram awb-icon-instagram" style="color:var(--awb-color2);font-size:16px;width:16px;background-color:var(--awb-color5);border-color:var(--awb-color5);border-radius:4px;" data-placement="top" data-title="Instagram" data-toggle="tooltip" title="Instagram" aria-label="instagram" target="_blank" rel="noopener noreferrer" href="https://www.instagram.com/tortadvisor/"></a><a class="fusion-social-network-icon fusion-tooltip fusion-tiktok awb-icon-tiktok" style="color:var(--awb-color2);font-size:16px;width:16px;background-color:var(--awb-color5);border-color:var(--awb-color5);border-radius:4px;" data-placement="top" data-title="Tiktok" data-toggle="tooltip" title="Tiktok" aria-label="tiktok" target="_blank" rel="noopener noreferrer" href="https://www.tiktok.com/@tortadvisor"></a><a class="fusion-social-network-icon fusion-tooltip fusion-youtube awb-icon-youtube" style="color:var(--awb-color2);font-size:16px;width:16px;background-color:var(--awb-color5);border-color:var(--awb-color5);border-radius:4px;" data-placement="top" data-title="YouTube" data-toggle="tooltip" title="YouTube" aria-label="youtube" target="_blank" rel="noopener noreferrer" href="https://www.youtube.com/@TortAdvisor"></a><a class="fusion-social-network-icon fusion-tooltip fusion-tumblr awb-icon-tumblr" style="color:var(--awb-color2);font-size:16px;width:16px;background-color:var(--awb-color5);border-color:var(--awb-color5);border-radius:4px;" data-placement="top" data-title="Tumblr" data-toggle="tooltip" title="Tumblr" aria-label="tumblr" target="_blank" rel="noopener noreferrer" href="https://www.tumblr.com/tortadvisorlaw"></a><a class="fusion-social-network-icon fusion-tooltip fusion-reddit awb-icon-reddit" style="color:var(--awb-color2);font-size:16px;width:16px;background-color:var(--awb-color5);border-color:var(--awb-color5);border-radius:4px;" data-placement="top" data-title="Reddit" data-toggle="tooltip" title="Reddit" aria-label="reddit" target="_blank" rel="noopener noreferrer" href="https://www.reddit.com/user/TortAdvisor/"></a></div></div></div><div class="fusion-text fusion-text-4" style="--awb-content-alignment:center;--awb-text-color:var(--awb-color1);--awb-margin-top:20px;"><p>TortAdvisor.com is not a law firm and this website may contain non-attorney advertising. Information provided is for general informational purposes only and is not medical or legal advice. Always consult licensed medical and legal professionals before making decisions about your health or legal rights. Choosing an attorney should not be based solely on advertising.</p> </div><div class="fusion-text fusion-text-5 fusion-text-no-margin" style="--awb-content-alignment:center;--awb-font-size:14px;--awb-text-color:var(--awb-color1);--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-text-font-family:"Plus Jakarta Sans";--awb-text-font-style:normal;--awb-text-font-weight:300;"><p style="text-align: center;"> TortAdvisor.com • Powered by Waypoint Software LLC • <a href="https://tortadvisor.com/privacy">Privacy Policy</a> • <a href="https://tortadvisor.com/sitemap_index.xml/">Sitemap</a> • <a href="https://tortadvisor.com/cookie-policy">Cookie Policy</a> • <a href="https://tortadvisor.com/terms-and-conditions/">Terms and Conditions</a> • Copyright © 2026 TortAdvisor</p> </div></div></div></div></div> </div></div> </div>  </div>  <a class="fusion-one-page-text-link fusion-page-load-link" tabindex="-1" href="#" aria-hidden="true">Page load link</a> <div class="avada-footer-scripts"> <div id="awb-oc-3641" class="awb-off-canvas-wrap type-popup overlay-disabled hidden-scrollbar" style="--awb-horizontal-position:center;--awb-horizontal-position-medium:center;--awb-horizontal-position-small:center;--awb-vertical-position:center;--awb-vertical-position-medium:center;--awb-vertical-position-small:flex-start;--awb-overlay-z-index:23020;--awb-width:100vw;--awb-box-shadow:;--awb-background-color:var(--awb-color1);--awb-content-layout:column;--awb-align-content:flex-start;--awb-valign-content:flex-start;--awb-content-wrap:wrap;--awb-close-button-color:var(--awb-color1);--awb-close-icon-size:22px;--awb-close-button-color-hover:var(--awb-color4);" data-id="3641"><div class="awb-off-canvas" tabindex="-1"><button class="off-canvas-close awb-icon-close close-position-right" aria-label="Close"></button><div class="awb-off-canvas-inner content-layout-column" style=""><div class="off-canvas-content"><div class="fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling awb-cv-auto" style="--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-right:0px;--awb-padding-left:0px;--awb-min-height:100vh;--awb-flex-wrap:wrap;--awb-cv-intrinsic-size:100vh;" ><div class="fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap" style="max-width:1456px;margin-left: calc(-4% / 2 );margin-right: calc(-4% / 2 );"><div class="fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-flex-column" style="--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--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-image-element" style="text-align:center;--awb-max-width:80px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);"><span class=" fusion-imageframe imageframe-none imageframe-2 hover-type-none" style="border-radius:12px;"><img decoding="async" width="155" height="155" alt="TortAdvisor logo" title="tortadvisor-favicon" src="data:image/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27155%27%20height%3D%27155%27%20viewBox%3D%270%200%20155%20155%27%3E%3Crect%20width%3D%27155%27%20height%3D%27155%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E" data-orig-src="https://tortadvisor.com/wp-content/uploads/2024/12/tortadvisor-favicon.png" class="lazyload img-responsive wp-image-6825"/></span></div><div class="fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-10923" style="--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-field-margin-top:5px;--awb-field-margin-bottom:5px;--awb-form-font-size:14px;--awb-form-placeholder-color:var(--awb-color6);--awb-required-field-symbol-deco:none;" data-form-id="10923" data-config="{"form_id":"10923","form_post_id":"10923","post_id":13337,"form_type":"ajax","confirmation_type":["redirect"],"redirect_url":"https:\/\/tortadvisor.com\/case-review-submitted-mid\/","redirect_timeout":"0","field_labels":{"_what_best_describes_the_type_of_accident_you_were_in":"","state":"","zip":"","city_where_the_injury_occurred":"","who_was_hurt_in_the_accident":"","did_the_injured_person_receive_treatment":"","estimated_medical_bills":"","was_a_police_report_filed":"","did_the_police_report_say_you_are_at_fault":"","are_you_currently_represented_by_a_lawyer_for_this_case":"","when_did_the_accident_happen":"","what_is_the_primary_injury":"","describe_how_you_were_injured":"","firstname":"First Name","lastname":"Last Name","phone":"","email":"Email","best_contact_time":"Best Contact Time"},"field_logics":{"_what_best_describes_the_type_of_accident_you_were_in":"","submit_1":"","state":"","zip":"","city_where_the_injury_occurred":"","submit_2":"","who_was_hurt_in_the_accident":"","submit_3":"","did_the_injured_person_receive_treatment":"","submit_4":"","estimated_medical_bills":"","submit_5":"","was_a_police_report_filed":"","submit_6":"","did_the_police_report_say_you_are_at_fault":"","submit_7":"","are_you_currently_represented_by_a_lawyer_for_this_case":"","submit_8":"","when_did_the_accident_happen":"","submit_9":"","what_is_the_primary_injury":"","submit_10":"","describe_how_you_were_injured":"","submit_11":"","firstname":"","lastname":"","submit_12":"","phone":"","email":"","best_contact_time":"","submit_13":"","notice_1":""},"field_types":{"_what_best_describes_the_type_of_accident_you_were_in":"radio","submit_1":"submit","state":"select","zip":"phone_number","city_where_the_injury_occurred":"text","submit_2":"submit","who_was_hurt_in_the_accident":"radio","submit_3":"submit","did_the_injured_person_receive_treatment":"radio","submit_4":"submit","estimated_medical_bills":"radio","submit_5":"submit","was_a_police_report_filed":"radio","submit_6":"submit","did_the_police_report_say_you_are_at_fault":"radio","submit_7":"submit","are_you_currently_represented_by_a_lawyer_for_this_case":"radio","submit_8":"submit","when_did_the_accident_happen":"radio","submit_9":"submit","what_is_the_primary_injury":"select","submit_10":"submit","describe_how_you_were_injured":"textarea","submit_11":"submit","firstname":"text","lastname":"text","submit_12":"submit","phone":"phone_number","email":"email","best_contact_time":"select","xxTrustedFormCertUrl":"hidden","clickid":"hidden","submit_13":"submit","lead_source":"hidden","lead_ip":"hidden","hidden_field":"hidden","notice_1":"notice"},"nonce_method":"none","form_views":"","form_views_counting":""}"><form action="https://tortadvisor.com/afff-lawsuit-settlement-amounts/" 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-10 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-6 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-7 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-11 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"><script src="data:text/javascript;base64,ZG9jdW1lbnQuYWRkRXZlbnRMaXN0ZW5lcignRE9NQ29udGVudExvYWRlZCcsZnVuY3Rpb24oKXtjb25zb2xlLmxvZygnQXV0by1za2lwIHNjcmlwdCBpbml0aWFsaXplZCcpO2RvY3VtZW50LnF1ZXJ5U2VsZWN0b3JBbGwoJ2ZpZWxkc2V0JykuZm9yRWFjaChmaWVsZHNldD0+e2lmKGZpZWxkc2V0LnF1ZXJ5U2VsZWN0b3IoJ2lucHV0W3R5cGU9InJhZGlvIl0nKSl7ZmllbGRzZXQuY2xvc2VzdCgnLmZ1c2lvbi1mb3JtLWZpZWxkJyk/LmNsYXNzTGlzdC5hZGQoJ2F1dG8tc2tpcCcpfX0pO2NvbnN0IGF1dG9Ta2lwRmllbGRzPWRvY3VtZW50LnF1ZXJ5U2VsZWN0b3JBbGwoJy5mdXNpb24tZm9ybS1maWVsZC5hdXRvLXNraXAnKTtjb25zb2xlLmxvZygnRm91bmQgYXV0by1za2lwIGZpZWxkczonLGF1dG9Ta2lwRmllbGRzLmxlbmd0aCk7YXV0b1NraXBGaWVsZHMuZm9yRWFjaChmaWVsZD0+e2NvbnN0IHJhZGlvcz1maWVsZC5xdWVyeVNlbGVjdG9yQWxsKCdpbnB1dFt0eXBlPSJyYWRpbyJdJyk7Y29uc29sZS5sb2coJ0ZvdW5kIHJhZGlvcyBpbiBmaWVsZDonLHJhZGlvcy5sZW5ndGgpO3JhZGlvcy5mb3JFYWNoKHJhZGlvPT57cmFkaW8uYWRkRXZlbnRMaXN0ZW5lcignY2hhbmdlJywoKT0+e2lmKHJhZGlvLmRhdGFzZXQucHJvY2Vzc2luZz09PSd0cnVlJyl7cmV0dXJufQpyYWRpby5kYXRhc2V0LnByb2Nlc3Npbmc9J3RydWUnO2NvbnNvbGUubG9nKCdSYWRpbyBjaGFuZ2VkOicscmFkaW8udmFsdWUpO3NldFRpbWVvdXQoKCk9PntoYW5kbGVGaWVsZE5hdmlnYXRpb24ocmFkaW8sZmllbGQpO3JhZGlvLmRhdGFzZXQucHJvY2Vzc2luZz0nZmFsc2UnfSwzMDApfSl9KX0pfSk7ZnVuY3Rpb24gaGFuZGxlRmllbGROYXZpZ2F0aW9uKHJhZGlvLGN1cnJlbnRGaWVsZCl7Y29uc3QgZm9ybVdyYXBwZXI9Y3VycmVudEZpZWxkLmNsb3Nlc3QoJy5mdXNpb24tY29sdW1uLXdyYXBwZXInKTtpZighZm9ybVdyYXBwZXIpe2NvbnNvbGUubG9nKCdObyBmb3JtIHdyYXBwZXIgZm91bmQnKTtyZXR1cm59CmNvbnN0IHZpc2libGVGaWVsZHM9QXJyYXkuZnJvbShmb3JtV3JhcHBlci5xdWVyeVNlbGVjdG9yQWxsKCcuZnVzaW9uLWZvcm0tZmllbGQnKSkuZmlsdGVyKGVsPT57Y29uc3Qgc3R5bGU9d2luZG93LmdldENvbXB1dGVkU3R5bGUoZWwpO2NvbnN0IGlzVmlzaWJsZT1zdHlsZS5kaXNwbGF5IT09J25vbmUnJiZzdHlsZS52aXNpYmlsaXR5IT09J2hpZGRlbicmJmVsLm9mZnNldEhlaWdodD4wJiZlbC5nZXRCb3VuZGluZ0NsaWVudFJlY3QoKS5oZWlnaHQ+MDtyZXR1cm4gaXNWaXNpYmxlfSk7Y29uc29sZS5sb2coJ1Zpc2libGUgZmllbGRzOicsdmlzaWJsZUZpZWxkcy5sZW5ndGgpO2NvbnN0IGN1cnJlbnRJbmRleD12aXNpYmxlRmllbGRzLmluZGV4T2YoY3VycmVudEZpZWxkKTtjb25zb2xlLmxvZygnQ3VycmVudCBmaWVsZCBpbmRleDonLGN1cnJlbnRJbmRleCk7Y29uc3QgbmV4dEZpZWxkPXZpc2libGVGaWVsZHNbY3VycmVudEluZGV4KzFdO2NvbnNvbGUubG9nKCdOZXh0IGZpZWxkIGZvdW5kOicsISFuZXh0RmllbGQpO2lmKCFuZXh0RmllbGQpe2NvbnNvbGUubG9nKCdObyBuZXh0IGZpZWxkIGZvdW5kJyk7cmV0dXJufQppZighaXNFbGVtZW50RnVsbHlSZW5kZXJlZChuZXh0RmllbGQpKXtjb25zb2xlLmxvZygnTmV4dCBmaWVsZCBub3QgZnVsbHkgcmVuZGVyZWQgeWV0Jyk7cmV0dXJufQpjb25zdCBoYXNTZWxlY3Q9bmV4dEZpZWxkLnF1ZXJ5U2VsZWN0b3IoJ3NlbGVjdCcpO2NvbnN0IGhhc1RleHRhcmVhPW5leHRGaWVsZC5xdWVyeVNlbGVjdG9yKCd0ZXh0YXJlYScpO2NvbnN0IGhhc0lucHV0PW5leHRGaWVsZC5xdWVyeVNlbGVjdG9yKCdpbnB1dDpub3QoW3R5cGU9InJhZGlvIl0pJyk7Y29uc3QgaGFzUmVxdWlyZWQ9bmV4dEZpZWxkLnF1ZXJ5U2VsZWN0b3IoJ1tyZXF1aXJlZF0sIFthcmlhLXJlcXVpcmVkPSJ0cnVlIl0nKTtjb25zb2xlLmxvZygnTmV4dCBmaWVsZCBjaGVja3M6Jyx7aGFzU2VsZWN0OiEhaGFzU2VsZWN0LGhhc1RleHRhcmVhOiEhaGFzVGV4dGFyZWEsaGFzSW5wdXQ6ISFoYXNJbnB1dCxoYXNSZXF1aXJlZDohIWhhc1JlcXVpcmVkfSk7aWYoaGFzU2VsZWN0fHxoYXNUZXh0YXJlYXx8aGFzSW5wdXR8fGhhc1JlcXVpcmVkKXtjb25zb2xlLmxvZygnU3RvcHBpbmcgYXV0by1za2lwIGR1ZSB0byBtYW51YWwgaW5wdXRzIG9yIHJlcXVpcmVkIGZpZWxkcycpO3JldHVybn0KY29uc3QgbmV4dFJhZGlvcz1uZXh0RmllbGQucXVlcnlTZWxlY3RvckFsbCgnaW5wdXRbdHlwZT0icmFkaW8iXScpO2lmKG5leHRSYWRpb3MubGVuZ3RoPjApe2NvbnNvbGUubG9nKCdBdXRvLWNsaWNraW5nIG5leHQgcmFkaW8gYnV0dG9uJyk7c2V0VGltZW91dCgoKT0+e2lmKGlzRWxlbWVudEZ1bGx5UmVuZGVyZWQobmV4dFJhZGlvc1swXSkpe25leHRSYWRpb3NbMF0uY2xpY2soKX19LDUwMCk7cmV0dXJufQpjb25zdCBzdWJtaXRCdXR0b249QXJyYXkuZnJvbShmb3JtV3JhcHBlci5xdWVyeVNlbGVjdG9yQWxsKCdidXR0b25bdHlwZT0ic3VibWl0Il0nKSkuZmluZChidG49PmJ0bi5vZmZzZXRQYXJlbnQhPT1udWxsJiZpc0VsZW1lbnRGdWxseVJlbmRlcmVkKGJ0bikpO2lmKHN1Ym1pdEJ1dHRvbil7Y29uc29sZS5sb2coJ0NsaWNraW5nIHN1Ym1pdCBidXR0b24nKTtzZXRUaW1lb3V0KCgpPT57c3VibWl0QnV0dG9uLmNsaWNrKCl9LDUwMCl9ZWxzZXtjb25zb2xlLmxvZygnTm8gdmlzaWJsZSBzdWJtaXQgYnV0dG9uIGZvdW5kJyl9fQpmdW5jdGlvbiBpc0VsZW1lbnRGdWxseVJlbmRlcmVkKGVsZW1lbnQpe2lmKCFlbGVtZW50KXJldHVybiExO2NvbnN0IHJlY3Q9ZWxlbWVudC5nZXRCb3VuZGluZ0NsaWVudFJlY3QoKTtjb25zdCBzdHlsZT13aW5kb3cuZ2V0Q29tcHV0ZWRTdHlsZShlbGVtZW50KTtyZXR1cm4gcmVjdC53aWR0aD4wJiZyZWN0LmhlaWdodD4wJiZzdHlsZS5kaXNwbGF5IT09J25vbmUnJiZzdHlsZS52aXNpYmlsaXR5IT09J2hpZGRlbicmJmVsZW1lbnQub2Zmc2V0UGFyZW50IT09bnVsbH0=" defer></script> <div class="fusion-title title fusion-title-8 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-12 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-9 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-10 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-13 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-11 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-12 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-14 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-13 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-14 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-15 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-15 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-16 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-16 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-17 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-17 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-18 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-18 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-19 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-20 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-19 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-21 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-20 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-22 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-23 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-21 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-24 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-22 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-25 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-26 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-23 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-27 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-24 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-28 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-29 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-25 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-30 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-26 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-31 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-32 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-27 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-33 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-28 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-34 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-35 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-29 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-36 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-30 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-37 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-38 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-31 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-39 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">

Describe your injuries in 1000 characters or less

Speak to a motor vehicle accident expert immediately

Please complete intake survey for free review

Contact Info

Your Personal Information Is Secure

First Name *

Last Name *

Speak to a motor vehicle accident expert immediately

Please complete intake survey for free review

Best contact info to reach you

(Please be sure to answer our call)

Email *

Best Contact Time

Legal Disclaimer:By clicking “Submit My Case Evaluation,” I provide my electronic signature and agree that TortAdvisor, operated by Waypoint Software LLC, and the law firms or marketing partners identified in the Partner List may call, text, or email me about my inquiry at the number and email I provide, including through automated technology, artificial or prerecorded voice, and SMS. Consent is not a condition of purchase or legal services. Message and data rates may apply. Reply STOP to opt out of SMS. I agree to the Terms and Privacy Policy.

Thank You,

Your information has been submitted successfully to TortAdvisor.

What happens next: Our intake team will review the information you provided to determine whether additional details are needed and whether your situation may qualify for further review.

Please watch for our call

A representative will contact you by phone, text message, or email. The call may come from a number that is not currently saved in your contacts, so please answer unfamiliar numbers and check your voicemail.

To help ensure that our emails reach you, please check your Spam, Junk, or Promotions folder and add the following to your approved senders:

Domain: *@tortadvisor.com
Email: info@tortadvisor.com
Email: help@tortadvisor.com

Important: Your information will be handled through a confidential intake process. Submitting this form does not guarantee eligibility, compensation, attorney representation, or any particular outcome.

Need immediate assistance or missed our call?

Call the TortAdvisor intake team and mention that you already completed the online form.

Call (855) 664-8713

TortAdvisor.com is not a law firm and does not provide legal or medical advice. Submitting information does not create an attorney-client relationship. Representation is established only through a written agreement with a licensed attorney.

There was an error trying to send your message. Please try again later.