DO I HAVE A CLAIM?

Have you been injured at work? Have you had to miss work due to an injury that occurred at work? Have you lost wages due to missing work because of an injury that occurred at work? Do you have medical bills that where the result of an injury sustained at work? If you answered yes to any of these questions, you may be eligible for workers compensation benefits. Please fill out the form below so we can inform you of your eligibility for compensation benefits.

 

INJURY INFORMATION FORM

 

Injury Information

In what state did the injury occur?
Injury Description
How were you injured?

 

 

Personal Information

Name:
E-mail:
Address:
City:      State:
     Zip:
Home Phone Number:

 

Main Office

1918 Pine St. Phila. PA. 19103
409-11 20th St. Phila. PA. 19146

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Contact Information

Phone: 1-215-546-0011
Toll Free: 1-888-PITT-LAW
Se Habla Español: 1-877-PITT-LEY
FAX: 1-215-546-0389
E-mail: lawyers@larrypitt.com
Larry Pitt & Associates, P.C.
409-11 South 20th Street
Philadelphia, PA, 19146 USA
2155460011