US Accident Help · Motor Vehicle Accident Intake
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Motor Vehicle Accident Intake

Injured in a Car Accident? Get Help Understanding Your Options

If you were injured in a motor vehicle accident, answer a few questions to see if you may qualify for a free case evaluation.

Check My Eligibility No obligation · Takes about 60 seconds
No CostFree initial reviewPrivate & SecureProtected submissionQuick & EasySimple guided steps
Accident Types

What type of accident were you involved in?

Choose the option that best matches what happened. We’ll use it to personalize the questions in your eligibility review.

iPlease Read Before You Begin

Answer each question accurately. Your responses and available accident documentation help determine whether your information may meet the current initial criteria.

Secure Online Intake

Check your initial eligibility

Answer a few focused questions about the accident, your injuries, treatment, and available documentation. Your information is reviewed securely against the current initial criteria.

Step 1 of 6Accident
Step 1 of 6

Tell Us About Your Accident

Start with when and where the accident happened and the type of collision.

1. When did the accident happen? *
7. What type of motor vehicle accident occurred? *
8. What was your role in the accident? *
9. Was another vehicle or driver involved? *
10. Was another driver at fault for the accident? *

Encrypted connection • TrustedForm consent certification • Optional Jornaya LeadID support

Why Contact Us?

A straightforward first step after an accident

01

Free initial case evaluation

No fee to submit your information for an initial review.

02

Quick online qualification

A guided mobile-first flow collects the details needed for initial criteria.

03

No obligation to continue

Submitting the form does not require you to retain a lawyer or use legal services.

04

Secure information submission

Phone verification, duplicate checks, and consent certification help protect lead quality.

05

Appropriate legal resources

If criteria are met, information may be reviewed for potential connection with legal resources.

What You Can Expect

A smoother, more professional intake experience

Clear questions, secure information handling, and straightforward next steps — without pressure or promises about legal outcomes.

Simple intake

Clear questions

A guided intake built to keep each step understandable and focused on the details needed for an initial review.

Easy to use

Mobile friendly

Large controls, short steps, and a progress indicator make the form easier to complete from a phone.

Transparent

Privacy minded

Clear consent language and direct access to privacy, terms, and disclaimer information before submission.

Professional process

Organized review

Accident, treatment, police-report, insurance, and contact details are captured in one structured flow.

No pressure

No obligation

Submitting information is an initial intake step and does not create an attorney-client relationship.

Simple intake

Clear questions

A guided intake built to keep each step understandable and focused on the details needed for an initial review.

Easy to use

Mobile friendly

Large controls, short steps, and a progress indicator make the form easier to complete from a phone.

Transparent

Privacy minded

Clear consent language and direct access to privacy, terms, and disclaimer information before submission.

Professional process

Organized review

Accident, treatment, police-report, insurance, and contact details are captured in one structured flow.

No pressure

No obligation

Submitting information is an initial intake step and does not create an attorney-client relationship.

How It Works

Four clear steps

No compensation guarantee and no promise of attorney acceptance.

01

Tell Us About Your Accident

Answer a few simple questions about your accident, injuries, location, and other important details.

02

Complete Your Information

Provide the contact details and accident information needed for an initial review, including police-report availability.

03

Get Your Information Reviewed

Your information is reviewed against the details you provide and the applicable qualification criteria.

04

Take the Next Step

If your situation appears to meet applicable criteria, you may be contacted regarding potential next steps and legal assistance.

No Cost to Submit • No Obligation • Secure Online Intake
About US Accident Help

Helping you take the next step after an accident

US Accident Help is an accident information and intake platform. We make it easier to provide organized accident, injury, location, and documentation details for an initial case review.

Learn About Us
Frequently Asked Questions

What to know before you submit

Do I have to pay to submit my information?

No. There is no cost to submit your information through our online form. Submitting the form does not require you to hire an attorney or move forward with any legal services.

How long does the qualification process take?

It usually takes only a few minutes to answer the questions and provide your basic accident information.

What if I don't know who was at fault?

That's okay. You can select “Not Sure.” Your information can still be reviewed based on the details you provide, depending on the other details you provide.

What if I already have an attorney?

Please disclose that during qualification. Claims that are already represented by an attorney are outside the current initial referral criteria.

What if my accident happened more than a year ago?

Accidents between one and two years old can be entered. Accidents more than two years old are outside the current initial eligibility period.

What if I don't have a police report?

Select the appropriate answer. A police report is an important qualification factor. A “No” or “Not Sure” answer may affect eligibility for further referral.

What information will I need?

You may be asked for accident, injury, medical-treatment, vehicle, insurance, police-report, and contact information. Medical-treatment proof is not required by this online form.

Does submitting the form create an attorney-client relationship?

No. Submitting your information does not create an attorney-client relationship. Any representation requires a separate agreement with a licensed attorney or law firm.

Will I be contacted after submitting the form?

If your information meets applicable criteria, you may be contacted by phone or email regarding your inquiry and potential next steps. SMS messages are sent only when the separate optional SMS checkbox is selected.

Is my information secure?

We use reasonable administrative and technical measures designed to protect submitted information. Review the Privacy Policy for details on collection, use, tracking, and sharing.