705.725.7355

Littlejohn Barristers
personal injury Law Specialists

Free consultation.
Pay nothing until we settle.
 
…A legal team specializing in personal injury law
…A lawyer who acts only for victims
…A strong voice and trusted advocate before the court
…Representation by local and experienced litigators, who achieve
successful results
 
Online Contact
To make a confidential inquiry about the merits of your case, please fill out the form below. An experienced personal injury lawyer will review what you’ve written within 2 days and will call to advise you.

Please fill out as much detail as possible in the form below. Filling in only the minimum information may impede our ability to represent you in court.
YOUR INFORMATION
Last Name* :
First Name* :
Former Surname
Date of Birth
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Email Address :
Street Address :
Daytime Telephone *#:
Evening Telephone #:
Cell Phone #:
Fax #:
Social Insurance No. :
OHIP No. #:
Disability Insurer :
Employer :
Emergency Contact Name. :
Telephone #:
 
FAMILY INFORMATION
Spouse’s Name
Spouse’s Date of Birth
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Children’s Name Date of Birth
1.
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2.
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3.
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4.
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INCIDENT INFORMATION
Type of Accident * :
Date of Accident :
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Time of Accident #:
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Other Pertinent Dates :
Precise Location of Accident :
Brief Description * :
 
Are you Missing Work as a Result of the Accident : 
 
Do you have Photos of the Accident Scene or Damage : 
 
Name of Defendant(s) :
Address of Defendant(s) :
Previous illnesses or injury(ies) :
Details :
Previous Motor Vehicle Accident Claims :
Previous WSIB Claims :
 
 
By clicking the send button, we agree you are not compelled to choose Littlejohn Barristers to represent you. Nor does receiving the form obligate us to represent you. All information you provide to us will be held in strict confidence.
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