Please use this form to send us a short description of your injury or claim.  
Tell us:
  • The date you were injured
  • How you were injured (car accident, fall, dog bite, etc.)
  • By whom you were injured.
  • Include a description of your injury, such as back injury, broken bone, etc., and
  • Have you have received any medical treatment, describe.

Lastly, tell us if you have missed work and if so, how much.
Date of Injury
Your Name
Telephone  
e-mail
How were you injured?
 Describe your injuries
Have you missed any work?
The Law Offices of Richard F. Antoine
845 University Avenue
Sacramento, CA  95825

Voice (916) 441-4105
Fax    (916) 441-4944
E-mail richard@richardantoine.com
The Law Offices of Richard F. Antoine