Wrongful Death Questionnaire

Michael W. Goldstein, Esq. has been practicing New York personal injury law, including accidental injuries causing death, since 1979. If a close relative of yours died as a result of an accident or medical malpractice, please complete and submit the form below, to see if we can help to obtain monetary compensation for your tragic loss.

  1. If the death was caused by an accident, please complete the following
  2. Did the police respond to the accident?
  3. If so, do you have a police report?
  4. If the death was caused by medical malpractice, please complete the following
  5. Has another doctor advised you that the medical treatment was improper?
  6. For security purposes, please answer the question below


Please click the Submit button. If you do not receive a confirmation message, an error has occurred. Therefore, kindly confirm the required fields (including Name and Email) and verify the security code. Then please submit this form again, or click the reverse arrow in your browser. If you are unable to successfully submit this form, please call us.

Notice: Your submission of this form, or a free telephone consultation, will not constitute an attorney-client relationship.

New York Injury Attorney Disclaimer: The New York personal injury, accident, injury, serious accident, or other personal injury legal information contained in this website is not intended to constitute legal advice, nor to create an attorney-client relationship or lawyer-client relationship. We recommend that you discuss your accident case with a Personal Injury Attorney or Accident Lawyer practicing law in New York promptly, since there are strict time limitations that apply to New York injury lawsuits. This website is not intended to solicit clients for accident cases outside of New York State. Under New York law, in the event there is no recovery in a contingency fee case, the client is responsible for the expenses of the litigation, including court costs and disbursements.

New York Personal Injury Lawyers and Attorneys New York representing accident victims who have sustained serious injuries in New York City, Manhattan, Bronx, Brooklyn, Queens, Staten Island, Long Island, Nassau County, Suffolk County, Westchester County, Rockland County and upstate New York.

Law Offices of Michael W. Goldstein, a New York personal injury and wrongful death law firm
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