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"We want to help get the work comp money you deserve. But first, we need some information from you. We understand we're asking plenty of questions. But the answers you give, help us give you the best legal advice possible."
-Attorney Edgar Snyder

We're available 24 hours a day, 7 days a week. Fill out the form below or call us toll-free at 1-866-802-2643.

Your Contact Information
* Questions marked in red are required
First Name:
Last Name:
City:
State:
Zip/Postal Code:
Phone Number:	- -
E-mail Address:

Injured Person Information
Name of injured person (if different than above):
Does the injured person currently have an attorney?	yes no

Workers' Compensation Issues
City and state of accident:
Date of accident:
Please briefly describe the accident.

Do you believe that you're too hurt to work?	yes	no
Have you been to any hearings with an attorney?	yes	no
Are you currently collecting Workers' Compensation?	yes	no

Please describe your injuries. What part of your body is injured? Do you have permanent, visible scarring on your face, head or neck?
Are you still off work as a result of this injury?	yes	no

Additional Information
How did you find our website?
Search Engine or Website
Television Ad Radio Ad Referred by a Friend	Newspaper Ad Billboards Other
Are there any other questions you wish to have answered?

Send me breaking news on dangerous drugs and product recalls that could impact me and my family. No thank you.

Thank you for allowing Edgar Snyder & Associates to provide you with a free evaluation of your work comp claim. Please remember:

Many times, in order to give you a complete evaluation of your claim, we will need to speak with you on the telephone. Therefore, when completing the information above, please be sure to provide us with a telephone number where you can be reached.
Submission of this form and the information contained in it is not privileged nor is it intended to create an attorney-client relationship between the sender and Edgar Snyder & Associates
Your information will be reviewed during normal business hours, M-F 8:30am - 5:00pm.

Know Your Rights

You can't count on your employer to tell you your rights.

Never a Fee

There is no charge to contact us.

Experience

For the past 35 years, we've helped over 25,000 injured people get the money they deserve.

Convenient

Request an evaluation 24 hours a day, 7 days a week.

Privacy

We will not share your information with any other company.

What Our Clients Say

"Edgar Snyder & Associates made it easy for me. I didn't have to do any running around or make phone calls. They took care of everything. I am glad I hired Edgar Snyder & Associates."
--Client
Pittsburgh, PA

"I was very happy with Edgar Snyder & Associates. I never had an attorney before. I never needed one. I was very pleased with my first experience."
--Client
Connellsville, PA