Do You Have a Personal Injury or Workers' Compensation Claim?

To find out more about your accident injuries or your Illinois worker's compensation matter, please fill out our easy-to-use Injury Information form below and click the Submit Button at the bottom. A personal injury or workers' compensation attorney from Loren B. Siegel & Associates, LLC will contact you to let you know if we think you may have a case. You may also call us at (312) 236-7555.

Remember, your first consultation is FREE, with NO OBLIGATION! If you retain our services, you do NOT pay unless we collect!




Tel 1: ( )  

Tel 2: ( )  

What is the best way to contact you? E-Mail  Telephone

Please tell us about your injury.

1. When were you injured?  

2. Did your injury happen at work? Yes No

3. Please briefly describe what happened & your injuries.