qualify.caraccidenthome.com Open in urlscan Pro
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Form analysis
2 forms found in the DOM

GET

<form method="get" id="step1-form" data-ajax="false" cr-attached="true">
  <input type="hidden" name="emailsource" id="emailsource" value="cah_aff">
  <input type="hidden" name="affiliatetracking" id="affiliatetracking" value="961-822870">
  <input type="hidden" name="sourceurl" id="sourceurl"
    value="https://qualify.caraccidenthome.com/lps/aff/000/?src=961-822870&amp;clid=08_141693699_79d2dd62-f2eb-48cc-a090-fec419defe35&amp;campaign_id=452249&amp;import_account=AA_AFF_ST_iDrive+Interactive">
  <input type="hidden" name="fullurl" id="fullurl" value="">
  <input type="hidden" name="pa" id="pa" value="AA">
  <input id="leadid_token" name="universal_leadid" type="hidden" value="B1A547BA-A527-4C79-5BB2-996719C710A3">
  <section class="step active" id="step-accidentType">
    <fieldset class="form-control-radio-list" id="fieldset-accidentType">
      <legend>How did you get hurt?</legend>
      <div class="wrapper-radios">
        <label for="accidentType_AutoAccident">
          <input type="radio" id="accidentType_AutoAccident" name="accidentType" value="Auto Accident" class="visually-hidden" data-parsley-required="true" data-parsley-errors-container="#fieldset-accidentType .container-errors" tabindex="0"> Car
          Accident <span class="checkmark"></span>
        </label>
        <label for="accidentType_18WheelerAccident">
          <input type="radio" id="accidentType_18WheelerAccident" name="accidentType" value="18 Wheeler Accident" class="visually-hidden" data-parsley-required="true" data-parsley-errors-container="#fieldset-accidentType .container-errors"
            tabindex="0"> 18 Wheeler Accident <span class="checkmark"></span>
        </label>
        <label for="accidentType_MotorcycleAccident">
          <input type="radio" id="accidentType_MotorcycleAccident" name="accidentType" value="Motorcycle Accident" class="visually-hidden" data-parsley-required="true" data-parsley-errors-container="#fieldset-accidentType .container-errors"
            tabindex="0"> Motorcycle Accident <span class="checkmark"></span>
        </label>
        <label for="accidentType_WorkAccident">
          <input type="radio" id="accidentType_WorkAccident" name="accidentType" value="Work Accident" class="visually-hidden" data-parsley-required="true" data-parsley-errors-container="#fieldset-accidentType .container-errors" tabindex="0"> Work
          Accident <span class="checkmark"></span>
        </label>
        <label for="accidentType_OtherAccident">
          <input type="radio" id="accidentType_OtherAccident" name="accidentType" value="Other Accident" class="visually-hidden" data-parsley-required="true" data-parsley-errors-container="#fieldset-accidentType .container-errors" tabindex="0"> Other
          Accident <span class="checkmark"></span>
        </label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
    <fieldset class="form-control-radio-list" id="fieldset-otherAccidentType" style="display:none;">
      <legend>Did your accident involve any of these?</legend>
      <div class="wrapper-radios">
        <label for="otherAccidentType_DogBite">
          <input type="radio" id="otherAccidentType_DogBite" name="otherAccidentType" value="Dog Bite" class="visually-hidden" data-parsley-errors-container="#fieldset-otherAccidentType .container-errors" tabindex="0"> Dog Bite / Animal Attack <span
            class="checkmark"></span>
        </label>
        <label for="otherAccidentType_SlipAndFall">
          <input type="radio" id="otherAccidentType_SlipAndFall" name="otherAccidentType" value="Slip and Fall" class="visually-hidden" data-parsley-errors-container="#fieldset-otherAccidentType .container-errors" tabindex="0"> Slip and Fall <span
            class="checkmark"></span>
        </label>
        <label for="otherAccidentType_Pedestrian">
          <input type="radio" id="otherAccidentType_Pedestrian" name="otherAccidentType" value="Pedestrian Accident" class="visually-hidden" data-parsley-errors-container="#fieldset-otherAccidentType .container-errors" tabindex="0"> Pedestrian
          Accident <span class="checkmark"></span>
        </label>
        <label for="otherAccidentType_Bicycle">
          <input type="radio" id="otherAccidentType_Bicycle" name="otherAccidentType" value="Bicycle Accident" class="visually-hidden" data-parsley-errors-container="#fieldset-otherAccidentType .container-errors" tabindex="0"> Bicycle/Scooter
          Accident <span class="checkmark"></span>
        </label>
        <label for="otherAccidentType_Other">
          <input type="radio" id="otherAccidentType_Other" name="otherAccidentType" value="Other Accident" class="visually-hidden" data-parsley-errors-container="#fieldset-otherAccidentType .container-errors" tabindex="0"> None of These <span
            class="checkmark"></span>
        </label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <section class="step" id="step-incidentDate">
    <fieldset class="form-control-date" id="fieldset-incidentDate">
      <label class="label-form-control">When did the accident happen?</label>
      <div class="wrapper-date">
        <select aria-label="Incident Date Month" name="incidentdate_mm_dd_yy_month" id="incidentdate_mm_dd_yy_month" class="form-control" data-parsley-errors-container="#fieldset-incidentDate .container-errors" tabindex="0">
          <option value="">Month</option>
          <option value="01">Jan</option>
          <option value="02">Feb</option>
          <option value="03">Mar</option>
          <option value="04">Apr</option>
          <option value="05">May</option>
          <option value="06">Jun</option>
          <option value="07">Jul</option>
          <option value="08">Aug</option>
          <option value="09">Sep</option>
          <option value="10">Oct</option>
          <option value="11">Nov</option>
          <option value="12">Dec</option>
        </select>
        <select aria-label="Incident Date Day" name="incidentdate_mm_dd_yy_day" id="incidentdate_mm_dd_yy_day" class="form-control" data-parsley-errors-container="#fieldset-incidentDate .container-errors" tabindex="0">
          <option value="">Day</option>
          <option value="01">1</option>
          <option value="02">2</option>
          <option value="03">3</option>
          <option value="04">4</option>
          <option value="05">5</option>
          <option value="06">6</option>
          <option value="07">7</option>
          <option value="08">8</option>
          <option value="09">9</option>
          <option value="10">10</option>
          <option value="11">11</option>
          <option value="12">12</option>
          <option value="13">13</option>
          <option value="14">14</option>
          <option value="15">15</option>
          <option value="16">16</option>
          <option value="17">17</option>
          <option value="18">18</option>
          <option value="19">19</option>
          <option value="20">20</option>
          <option value="21">21</option>
          <option value="22">22</option>
          <option value="23">23</option>
          <option value="24">24</option>
          <option value="25">25</option>
          <option value="26">26</option>
          <option value="27">27</option>
          <option value="28">28</option>
          <option value="29">29</option>
          <option value="30">30</option>
          <option value="31">31</option>
        </select>
        <select aria-label="Incident Date Year" name="incidentdate_mm_dd_yy_year" id="incidentdate_mm_dd_yy_year" class="form-control" data-parsley-errors-container="#fieldset-incidentDate .container-errors" tabindex="0">
          <option value="">Year</option>
          <option value="2024">2024</option>
          <option value="2023">2023</option>
          <option value="2022">2022</option>
          <option value="2021">2021</option>
          <option value="2020">2020</option>
          <option value="2019">Before 2020</option>
        </select>
        <div class="container-errors"></div>
      </div>
      <input type="hidden" id="incidentdate_mm_dd_yy" name="incidentdate_mm_dd_yy" value="">
    </fieldset>
  </section>
  <section class="step" id="step-atFault">
    <fieldset class="form-control-boolean-list" id="fieldset-atFault">
      <legend>Was the accident your fault?</legend>
      <div class="wrapper-booleans">
        <input type="radio" id="atFault_Yes" name="atFault" value="Yes" class="visually-hidden" data-parsley-errors-container="#fieldset-atFault .container-errors" tabindex="0">
        <label for="atFault_Yes">Yes</label>
        <input type="radio" id="atFault_No" name="atFault" value="No" class="visually-hidden" data-parsley-errors-container="#fieldset-atFault .container-errors" tabindex="0">
        <label for="atFault_No">No</label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
    <fieldset class="form-control-boolean-list" id="fieldset-coverageBoth">
      <legend>Do both parties have insurance coverage?</legend>
      <div class="wrapper-booleans">
        <input type="radio" id="coverageBoth_Yes" name="coverageBoth" value="Yes" class="visually-hidden" data-parsley-errors-container="#fieldset-coverageBoth .container-errors" tabindex="0">
        <label for="coverageBoth_Yes">Yes</label>
        <input type="radio" id="coverageBoth_No" name="coverageBoth" value="No" class="visually-hidden" data-parsley-errors-container="#fieldset-coverageBoth .container-errors" tabindex="0">
        <label for="coverageBoth_No">No</label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
    <fieldset class="form-control-boolean-list" id="fieldset-ownerInfo">
      <legend>Do you know who owns the animal that attacked you?</legend>
      <div class="wrapper-booleans">
        <input type="radio" id="ownerInfo_Yes" name="ownerInfo" value="Yes" class="visually-hidden" data-parsley-errors-container="#fieldset-ownerInfo .container-errors" tabindex="0">
        <label for="ownerInfo_Yes">Yes</label>
        <input type="radio" id="ownerInfo_No" name="ownerInfo" value="No" class="visually-hidden" data-parsley-errors-container="#fieldset-ownerInfo .container-errors" tabindex="0">
        <label for="ownerInfo_No">No</label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <section class="step" id="step-injuries">
    <fieldset class="form-control-boolean-list" id="fieldset-injuries">
      <legend>Were you physically hurt?</legend>
      <div class="wrapper-booleans">
        <input type="radio" id="injuries_Yes" name="injuries" value="Yes" class="visually-hidden" data-parsley-errors-container="#fieldset-injuries .container-errors" tabindex="0">
        <label for="injuries_Yes">Yes</label>
        <input type="radio" id="injuries_No" name="injuries" value="No" class="visually-hidden" data-parsley-errors-container="#fieldset-injuries .container-errors" tabindex="0">
        <label for="injuries_No">No</label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <section class="step" id="step-immediateAttention">
    <fieldset class="form-control-boolean-list" id="fieldset-immediateAttention">
      <legend>Did your injury require immediate medical attention?</legend>
      <div class="wrapper-booleans">
        <input type="radio" id="immediateAttention_Yes" name="immediateAttention" value="Yes" class="visually-hidden" data-parsley-errors-container="#fieldset-immediateAttention .container-errors" tabindex="0">
        <label for="immediateAttention_Yes">Yes</label>
        <input type="radio" id="immediateAttention_No" name="immediateAttention" value="No" class="visually-hidden" data-parsley-errors-container="#fieldset-immediateAttention .container-errors" tabindex="0">
        <label for="immediateAttention_No">No</label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <section class="step" id="step-treatment">
    <fieldset class="form-control-boolean-list" id="fieldset-treatment">
      <legend>Did the accident cause hospitalization or medical treatment?</legend>
      <div class="wrapper-booleans">
        <input type="radio" id="treatment_Yes" name="treatment" value="Yes" class="visually-hidden" data-parsley-errors-container="#fieldset-treatment .container-errors" tabindex="0">
        <label for="treatment_Yes">Yes</label>
        <input type="radio" id="treatment_No" name="treatment" value="No" class="visually-hidden" data-parsley-errors-container="#fieldset-treatment .container-errors" tabindex="0">
        <label for="treatment_No">No</label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <section class="step" id="step-estimatedBills">
    <fieldset class="form-control-basic" id="fieldset-estimatedBills">
      <label class="label-form-control" for="estimatedBills">Estimated Medical Bills:</label>
      <div class="wrapper-basic">
        <select name="estimatedBills" id="estimatedBills" class="form-control" data-parsley-errors-container="#fieldset-estimatedBills .container-errors" tabindex="0">
          <option value="">-- Choose One --</option>
          <option value="None">None</option>
          <option value="$1-$10,000">$1-$10,000</option>
          <option value="$10,000-$25,000">$10,000-$25,000</option>
          <option value="$25,000-$50,000">$25,000-$50,000</option>
          <option value="$50,000-$100,000">$50,000-$100,000</option>
          <option value="$100,000 or more">$100,000 or more</option>
        </select>
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <section class="step" id="step-haveAttorney">
    <fieldset class="form-control-boolean-list" id="fieldset-haveAttorney">
      <legend>Is an attorney helping you with this claim?</legend>
      <div class="wrapper-booleans">
        <input type="radio" id="haveAttorney_Yes" name="haveAttorney" value="Yes" class="visually-hidden" data-parsley-errors-container="#fieldset-haveAttorney .container-errors" tabindex="0">
        <label for="haveAttorney_Yes">Yes</label>
        <input type="radio" id="haveAttorney_No" name="haveAttorney" value="No" class="visually-hidden" data-parsley-errors-container="#fieldset-haveAttorney .container-errors" tabindex="0">
        <label for="haveAttorney_No">No</label>
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <section class="step" id="step-description">
    <fieldset class="form-control-basic" id="fieldset-state">
      <label class="label-form-control" for="state">Where did the accident happen?</label>
      <div class="wrapper-basic">
        <input type="hidden" name="zipcode" id="zipcode" value="">
        <input type="hidden" name="city" id="city" value="">
        <select name="state" id="state" class="form-control" data-parsley-errors-container="#fieldset-state .container-errors" tabindex="0">
          <option value="">-- Choose One --</option>
          <option value="AL" data-zip="35004" data-city="Moody">Alabama</option>
          <option value="AK" data-zip="99501" data-city="Anchorage">Alaska</option>
          <option value="AZ" data-zip="71601" data-city="Pine Bluff">Arizona</option>
          <option value="AR" data-zip="85001" data-city="Phoenix">Arkansas</option>
          <option value="CA" data-zip="90001" data-city="Los Angeles">California</option>
          <option value="CO" data-zip="80001" data-city="Arvada">Colorado</option>
          <option value="CT" data-zip="06001" data-city="Avon">Connecticut</option>
          <option value="DE" data-zip="19701" data-city="Bear">Delaware</option>
          <option value="DC" data-zip="20001" data-city="Washington">District Of Columbia</option>
          <option value="FL" data-zip="32003" data-city="Fleming Island">Florida</option>
          <option value="GA" data-zip="30002" data-city="Avondale Estates">Georgia</option>
          <option value="HI" data-zip="96701" data-city="Aiea">Hawaii</option>
          <option value="ID" data-zip="83201" data-city="Pocatello">Idaho</option>
          <option value="IL" data-zip="60002" data-city="Antioch">Illinois</option>
          <option value="IN" data-zip="46001" data-city="Alexandria">Indiana</option>
          <option value="IA" data-zip="50001" data-city="Ackworth">Iowa</option>
          <option value="KS" data-zip="66002" data-city="Atchison">Kansas</option>
          <option value="KY" data-zip="40003" data-city="Bagdad">Kentucky</option>
          <option value="LA" data-zip="70001" data-city="Metairie">Louisiana</option>
          <option value="ME" data-zip="03901" data-city="Berwick">Maine</option>
          <option value="MD" data-zip="20601" data-city="Waldorf">Maryland</option>
          <option value="MA" data-zip="01001" data-city="Agawam">Massachusetts</option>
          <option value="MI" data-zip="48001" data-city="Algonac">Michigan</option>
          <option value="MN" data-zip="55001" data-city="Afton">Minnesota</option>
          <option value="MS" data-zip="38601" data-city="Abbeville">Mississippi</option>
          <option value="MO" data-zip="63005" data-city="Chesterfield">Missouri</option>
          <option value="MT" data-zip="59001" data-city="Absarokee">Montana</option>
          <option value="NE" data-zip="68001" data-city="Abie">Nebraska</option>
          <option value="NV" data-zip="88901" data-city="The Lakes">Nevada</option>
          <option value="NH" data-zip="03031" data-city="Amherst">New Hampshire</option>
          <option value="NJ" data-zip="07001" data-city="Avenel">New Jersey</option>
          <option value="NM" data-zip="87001" data-city="Algodones">New Mexico</option>
          <option value="NY" data-zip="00501" data-city="Holtsville">New York</option>
          <option value="NC" data-zip="27006" data-city="Advance">North Carolina</option>
          <option value="ND" data-zip="58001" data-city="Abercrombie">North Dakota</option>
          <option value="OH" data-zip="43001" data-city="Alexandria">Ohio</option>
          <option value="OK" data-zip="73001" data-city="Albert">Oklahoma</option>
          <option value="OR" data-zip="97001" data-city="Antelope">Oregon</option>
          <option value="PA" data-zip="15001" data-city="Aliquippa">Pennsylvania</option>
          <option value="RI" data-zip="02801" data-city="Adamsville">Rhode Island</option>
          <option value="SC" data-zip="29001" data-city="Alcolu">South Carolina</option>
          <option value="SD" data-zip="57001" data-city="Alcester">South Dakota</option>
          <option value="TN" data-zip="37010" data-city="Adams">Tennessee</option>
          <option value="TX" data-zip="73301" data-city="Austin">Texas</option>
          <option value="UT" data-zip="84001" data-city="Altamount">Utah</option>
          <option value="VT" data-zip="05001" data-city="White River Junction">Vermont</option>
          <option value="VA" data-zip="20101" data-city="Dulles">Virginia</option>
          <option value="WA" data-zip="98001" data-city="Auburn">Washington</option>
          <option value="WV" data-zip="24701" data-city="Bluefield">West Virginia</option>
          <option value="WI" data-zip="53001" data-city="Adell">Wisconsin</option>
          <option value="WY" data-zip="82001" data-city="Cheyenne">Wyoming</option>
        </select>
        <div class="container-errors"></div>
      </div>
    </fieldset>
    <fieldset class="form-control-textarea" id="fieldset-description">
      <label class="label-form-control" for="description">Please describe what happened:</label>
      <div class="wrapper-textarea">
        <textarea cols="1" class="form-control" name="description" id="description" rows="1" data-parsley-errors-container="#fieldset-description .container-errors" data-parsley-minlength="4" data-parsley-whitespace="squish" tabindex="0"></textarea>
        <input type="hidden" name="descriptionAll" id="descriptionAll">
        <div class="container-errors"></div>
      </div>
    </fieldset>
  </section>
  <button class="btn-primary btn-submit" data-role="none" id="step1-btn" type="button" style="display:none;">Do I Qualify?</button>
  <button class="btn-primary btn-next" data-role="none" id="step1-next-btn" type="button">Start My Evaluation &gt;</button>
  <input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/0268b3e05bb20584ae7435bd305d81ee1af0e26c" id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken"
    value="https://cert.trustedform.com/0268b3e05bb20584ae7435bd305d81ee1af0e26c" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
    value="https://ping.trustedform.com/0.Rj13E9UN79pnNG1YDLLy0CYqfep4tG69H6UDkj1UouhkzIdmGWgmEMgcdVuAm4OOsMLYrrEg.dE4faIYzIiBgyyoEbA0xnw.AT2iPzGd280Oojx_Kr-jAA" id="xxTrustedFormPingUrl_0">
</form>

POST

<form method="post" id="step2-form" style="background-color:transparent;" data-ajax="false" autocomplete="on" parsley-validate="" action="" cr-attached="true">
  <input type="hidden" name="name" id="name" value="">
  <input type="hidden" id="residenceCity" name="residenceCity" value="">
  <input type="hidden" id="residenceState" name="residenceStateID" value="">
  <input type="hidden" name="recaptcha_response" id="recaptchaResponse">
  <fieldset class="form-control-two-column hide-phone-second-chance" id="fieldset-firstname">
    <label class="label-form-control" for="firstname">First Name:</label>
    <input type="text" class="form-control" name="firstname" id="firstname" value="" data-parsley-whitespace="squish" data-parsley-minlength="2" data-parsley-error-message="First Name is Required"
      data-parsley-errors-container="#fieldset-firstname .container-errors">
    <div class="container-errors"></div>
  </fieldset>
  <fieldset class="form-control-two-column hide-phone-second-chance" id="fieldset-lastname">
    <label class="label-form-control" for="lastname">Last Name:</label>
    <input type="text" class="form-control" name="lastname" id="lastname" value="" data-parsley-whitespace="squish" data-parsley-minlength="2" data-parsley-error-message="Last Name is Required"
      data-parsley-errors-container="#fieldset-lastname .container-errors">
    <div class="container-errors"></div>
  </fieldset>
  <fieldset class="form-control-two-column" id="fieldset-phone">
    <label class="label-form-control" for="phone">Phone Number:</label>
    <input type="tel" class="form-control" maxlength="12" name="phone" id="phone" data-parsley-error-message="Phone Number is Required (###-###-####)" pattern="^[2-9]{1}[0-9]{2}-[0-9]{3}-[0-9]{4}$"
      data-parsley-errors-container="#fieldset-phone .container-errors">
    <div class="container-errors"></div>
  </fieldset>
  <fieldset class="form-control-two-column hide-phone-second-chance" id="fieldset-claimantHomeZip">
    <label class="label-form-control" for="claimantHomeZip">Zip Code:</label>
    <input type="tel" class="form-control" maxlength="5" name="claimantHomeZip" id="claimantHomeZip" data-parsley-error-message="Zip Code is Required" data-parsley-errors-container="#fieldset-claimantHomeZip .container-errors">
    <div class="container-errors"></div>
  </fieldset>
  <fieldset class="form-control-two-column hide-phone-second-chance" id="fieldset-email">
    <label class="label-form-control" for="email">Email:</label>
    <input type="email" class="form-control" name="email" id="email" autocomplete="on" data-parsley-error-message="Email Address is Required" data-parsley-errors-container="#fieldset-email .container-errors">
    <div class="container-errors"></div>
  </fieldset>
  <button class="btn-primary btn-submit" data-role="none" id="step2-btn" type="button">Get My Evaluation &gt;</button>
  <div class="security">
    <picture>
      <source srcset="assets/img/lock.webp" type="image/webp">
      <source srcset="assets/img/lock.png" type="image/png">
      <img src="assets/img/lock.png" alt="Security Lock">
    </picture>
    <span>Your information is secure</span>
  </div>
  <p class="tcpa-disclaimer">By submitting your request via our online forms or chat, you grant permission to our company and
    <a style="text-decoration:underline;" href="https://qualify.caraccidenthome.com/includes/partners.php" target="_blank">any third party affiliate or law firm</a> to contact you by phone, text messaging and/or email using the phone number or email
    address that you provided so we may assist you with your request for a free case evaluation and you consent to the use of an automatic telephone dialing system and or a telephone dialing system using an artificial or prerecorded voice message,
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SEE HOW MUCH YOU'RE OWED IN COMPENSATION!


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• • • • • • • • • •
Your
Results
How did you get hurt?
Car Accident 18 Wheeler Accident Motorcycle Accident Work Accident Other
Accident

Did your accident involve any of these?
Dog Bite / Animal Attack Slip and Fall Pedestrian Accident Bicycle/Scooter
Accident None of These

When did the accident happen?
Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year
20242023202220212020Before 2020

Was the accident your fault?
Yes No

Do both parties have insurance coverage?
Yes No

Do you know who owns the animal that attacked you?
Yes No

Were you physically hurt?
Yes No

Did your injury require immediate medical attention?
Yes No

Did the accident cause hospitalization or medical treatment?
Yes No

Estimated Medical Bills:
-- Choose One -- None $1-$10,000 $10,000-$25,000 $25,000-$50,000
$50,000-$100,000 $100,000 or more

Is an attorney helping you with this claim?
Yes No

Where did the accident happen?
-- Choose One -- Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa
Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota
Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico
New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode
Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia
Washington West Virginia Wisconsin Wyoming

Please describe what happened:

Do I Qualify? Start My Evaluation >
First Name:

Last Name:

Phone Number:

Zip Code:

Email:

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HOW MUCH IS MY AUTO ACCIDENT CLAIM WORTH?

Without a ridiculous amount of detail and a qualified personal injury lawyer
licensed to practice in your state, it is difficult to answer this question with
any accuracy. However, you can use publicly available data to extrapolate an
amount, depending on which claim type you plan to file:

 1. According to the Insurance Information Institute, the average bodily injury
    car insurance claim in 2019 paid $18,417. That’s assuming you are not the
    at-fault driver, have a visible-to-serious injury and settle directly with
    the car insurance provider.
 2. Hospital bills for whiplash or neck-related pain and injuries from car
    accidents in 2013 totaled about $53,000-$97,000, on average. This number’s
    nearly a decade old, so expect significantly higher bills for those same
    injuries treated in hospitals today.
 3. Most personal injury settlements for car accident claims in 2015 paid
    $64,761, according to the Civil Justice Initiative. However, no insurance
    company would likely offer that amount unless you have a personal injury
    attorney representing your claim.
 4. National Highway Traffic Safety Administration (NHTSA) data shows insurance
    companies typically only cover 54% of injury accident costs.

Let’s look at that first number from 2019, which is $18,417. According to NHTSA
data, your actual costs from an auto accident injury are closer to double that
amount. However, that’s only if you don’t need to go to the hospital, based on
our second point above. Looking at the third number is probably closer to what
you might expect filing an auto accident claim through a qualified attorney.
However, that $18,417 is just 28.5% of the typical auto accident claim payout in
2015. You can likely expect up to 3.5x more money for your auto accident claim
if you have an attorney vs. settling with insurance directly.

Calculate My Claim Value!


WHY SHOULD I GET AN ESTIMATE?

 * Get more money - Getting an estimate will help you know the true value of
   your claim
 * Insurance companies will try to pay you less than your claim is worth - don't
   let them
 * You'll have the option to speak with a real auto accident attorney in your
   area - for free!
 * You have nothing to lose! The evaluation is COMPLETELY FREE

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