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Workers' Compensation Contact Form

Workers' compensation was invented in Germany in the 1800's, spread to other European countries and to the US in the early 1900's. If you have an employment-related injury or occupational disease, preserve your legal rights by consulting with a skilled workers' compensation lawyer.

Benefits for Injured Workers in North Carolina

After a serious workplace accident or a diagnosis of occupational illness, you may need the help of an experienced attorney to pursue the workers' compensation benefits you need.

An attorney at the Ramsay Law Firm in Charlotte can offer you honest answers and experienced guidance at every stage of the process, from seeking medical treatment and filing for benefits to returning to work or fighting a denied workers' comp claim. Contact us today for a free consultation.

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Workers' Compensation Contact Form

Name

E-mail Address

Phone Number

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 

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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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