Step 1 of 32 3% X/TwitterThis field is for validation purposes and should be left unchanged.Personal InjurySelect a service below Ride Share Injuries Construction injuries General car accidents Workers compensation Employment Hours & Wages Ride Share InjuriesEnter Location Were you injured while riding in or driving for a rideshare service (Uber, Lyft, etc.)? Yes No Was the accident reported to the police? Yes No Did you receive medical attention for your injuries? Yes No Was the rideshare driver (or another driver) found to be at fault? Yes No Do you have documentation of the trip (e.g., app records or receipts)? Yes No Were there any witnesses to the accident? Yes No Construction InjuriesWhen did you had construction injury?(Required) Were you injured on or near a construction site?(Required) Yes No Were you working at the site when the injury occurred?(Required) Yes No Did anyone else witness the incident?(Required) Yes No Did you report the injury to a supervisor or employer?(Required) Yes No Did you receive medical treatment after the injury?(Required) Yes No General Car AccidentsWere you involved in a motor vehicle accident within the last 6 months?(Required) Yes No Were you injured in the accident?(Required) Yes No Was another driver at fault?(Required) Yes No Was a police report filed?(Required) Yes No Do you have insurance information for all drivers involved?(Required) Yes No Were you injured while performing duties at your job?(Required) Yes No Have you reported the injury to your employer?(Required) Yes No Did your injury require medical attention?(Required) Yes No Have you missed work due to this injury?(Required) Yes No Have you filed a workers' compensation claim?(Required) Yes No Was your claim denied or delayed?(Required) Yes No Are you being paid less than minimum wage?(Required) Yes No Are you not being paid for overtime hours worked?(Required) Yes No Have you been denied breaks or meal periods?(Required) Yes No Have you experienced unlawful deductions from your paycheck?(Required) Yes No Are you classified as an independent contractor but treated like an employee?(Required) Yes No Has your employer retaliated against you for speaking up?(Required) Yes No Name(Required) First Name Last Name Email PhoneConsent By providing your phone number, you agree to receive text messages from Alder Law . Message and data rates may apply. Message frequency varies.
