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North Carolina Personal Injury & Workers Compensation Attorneys

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Contact Us

Thank you for considering our law firm with your potential claim. We are sorry to learn that you are having to deal with a legal situation. Please fill out this form with the details about your potential claim and we will contact you. You can also read about some of our recent cases on our blog and see what our clients think about us on our Video Testimonial and Client Testimonial pages.

Fill Out This Form And We’ll Contact You

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Contact Information

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Were you injured at work?

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Type of Case

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ACKNOWLEDGEMENT AND ACCEPTANCE

Consent

The information in this form is confidential. However, the completion of the form does not constitute an agreement for representation. I authorize Johnson & Groninger PLLC to send emails to the email address provided on this form. By providing my phone number to Johnson & Groninger, I agree and acknowledge that Johnson & Groninger may send text messages to my wireless phone number for any purpose. Message and data rates may apply. We will only send one SMS as a reply to you, and you will be able to Opt-out by replying “STOP”. For more information on how your data will be handled please visit our Privacy Policy here: https://www.jglawnc.com/privacy-policy-2/

THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

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