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The Bernstein Approach
 

Wrongful Death

Step 2 of 3

Please tell us about the deceased person:

First name: required field
Last name: required field
Address:
City:
State:
Zip:
Age at death:
Gender: Male Female
______________________________

Please tell us about the wrongful death:

Date of death:
Location of fatal injury - City:
Location of fatal injury - State:
What caused the wrongful death?


required field = Required Why?

 
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