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Workers' Compensation Contact Form

Back injuries and repetitive motion injuries such as carpel tunnel syndrome are among the most common work-related injuries for which workers' compensation benefits are paid. Contact an attorney to determine whether you have a valid claim.

New Jersey Workers' Compensation Attorneys

To obtain the maximum available compensation following a workplace injury, it is important to understand how workers' compensation works, and in some cases, what other sources of compensation might be applicable to your case — and how to coordinate workers' comp claims with third party liability claims. GOLDSTEIN, BALLEN, O'ROURKE & WILDSTEIN Sirota, Humphreys & Bell handles all aspects of an injury claim — including SSDI claims if applicable.

Thank you for contacting Goldstein, Ballen, O'Rourke & Wildstein, Sirota, Humphreys & Bell. Your message has been sent.

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or use the form below.

Workers' Compensation Contact Form

Name

E-mail Address

Phone Number

When were you injured or did you become sick?

Were you working at the time of the accident or harmful circumstance?
Yes  No 

For whom?

What work-related activity were you engaged in at the time you were injured?

How did the accident or harmful circumstance happen?

Were your injuries caused by tool or equipment failure or use?
Yes  No 

If your injuries were caused by tool or equipment failure or use, who manufactured, distributed and/or sold the equipment with which you were working?

When and where did you first seek medical care for your injury?

What was your diagnosis? Prognosis?

Who is your physician(s)?

Had you ever experienced similar symptoms in the past?
Yes  No 

Did the accident or harmful circumstance exacerbate a pre-existing injury?
Yes  No 

Did the injury cause you to miss work?
Yes  No 

Has your doctor authorized you to return to work?
Yes  No 

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DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

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GOLDSTEIN, BALLEN, O'ROURKE & WILDSTEIN
Sirota, Humphreys & Bell
Passaic Lawyers Building, One Howe Avenue • Passaic, NJ 07055
Fax: 973-473-3300 • Map and Directions
Private Off Street Parking (Private lot at the corner of Howe Avenue & Garden Street, Passaic, NJ)

Hackensack office
11 State Street • Hackensack, NJ 07601 • Map and Directions
Phone: 973-928-0899 • Toll Free: 888-868-1830
Private Off Street Parking (On-site lot)