Workers' Compensation Contact Form

Back injuries and repetitive motion injuries such as carpel tunnel syndrome are among the most common work-related injuries for which workers' compensation benefits are paid. Contact an attorney to determine whether you have a valid claim.

More Information on Workers' Compensation in San Diego

Attorney Leslie S. Shaw has considerable understanding of the nuances and the complexities of workers' compensation law in California. She knows how to deal with insurance defense lawyers, company doctors and others who may attempt to prevent you from obtaining the benefits that you rightfully deserve as an injured worker under California law.

Please call our law firm at 619-683-2346 or contact us online to arrange for a free initial consultation. We can help you understand your rights, address your questions and help you determine whether you wish to retain our firm as your legal counsel.

Read easy-to-read detailed information about workers' compensation matters by clicking below.

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Call us now at 619-683-2346

or use the form below.

Workers' Compensation Contact Form

*First Name

*Last Name

*Email Address

*Phone Number


Street Address


Incident Street Address

Incident Apt/Ste

*Incident Zip

When were you injured or did you become sick?

Were you working at the time of the accident or harmful circumstance?
Yes  No 

For whom?

What work-related activity were you engaged in at the time you were injured?

How did the accident or harmful circumstance happen?

Were your injuries caused by tool or equipment failure or use?
Yes  No 

If your injuries were caused by tool or equipment failure or use, who manufactured, distributed and/or sold the equipment with which you were working?

When and where did you first seek medical care for your injury?

What was your diagnosis? Prognosis?

Who is your physician(s)?

Had you ever experienced similar symptoms in the past?
Yes  No 

Did the accident or harmful circumstance exacerbate a pre-existing injury?
Yes  No 

Did the injury cause you to miss work?
Yes  No 

Has your doctor authorized you to return to work?
Yes  No 

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

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