Free Consultation Type of Case*Please SelectBicycle AccidentCar AccidentCatastrophic InjuryConstruction AccidentDangerous/Defective RoadwaysDog BiteLegal MalpracticeMotorcycle AccidentNursing Home AbusePedestrian AccidentProducts LiabilityProfessional MalpracticePublic Transit AccidentTrip or Fall AccidentTruck AccidentOtherPlease select the practice area closest related to your type of case.Thank YouThank you for your interest in Rahman Law. At this time, we are unable to accept any additional professional malpractice cases. Please use The State Bar of California’s Find a Lawyer Referral Service website to find a State Bar-certified lawyer in your county in the practice area you need. http://www.calbar.ca.gov/Public/LawyerReferralServicesLRS.aspxThank YouThank you for your interest in Rahman Law. At this time, it appears you are interested in something outside of our practice areas. Please use The State Bar of California’s Find a Lawyer Referral Service website to find a State Bar-certified lawyer in your county in the practice area you need. http://www.calbar.ca.gov/Public/LawyerReferralServicesLRS.aspxPlease fill in as much of the following as possible.Name*E-mail Address* Phone Number*Incident Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Is there a police report? Yes No Briefly describe the incident:* Were you taken from the scene to the hospital? Yes No Estimated medical costs to date:Estimated loss of earnings to date:Briefly describe any injuries: How did you hear about us?*The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.* I have read and understand the disclaimer.