Case Evaluations

By Phone: 866-SMILEYLAW

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*  City where incident occurred		Select a cityAccord Acra Adams Adams Basin Adams Center Addison Adirondack Afton Akron Albany Albertson Albion Alcove Alden Alder Creek Alexander Alexandria Bay Alfred Alfred Station Allegany Allentown Alma Almond Alpine Alplaus Altamont Altmar Alton Altona Amagansett Amawalk Amenia Amityville Amsterdam Ancram Ancramdale Andes Andover Angelica Angola Annandale On Hudson Antwerp Apalachin Appleton Apulia Station Aquebogue Arcade Arden Ardsley Ardsley On Hudson Argyle Arkport Arkville Armonk Arverne Ashland Ashville Astoria Athens Athol Athol Springs Atlanta Atlantic Beach Attica Au Sable Forks Auburn Auriesville Aurora Austerlitz Ava Averill Park Avoca Avon Babylon Bainbridge Bakers Mills Baldwin Baldwin Place Baldwinsville Ballston Lake Ballston Spa Bangall Barker Barneveld Barrytown Barryville Barton Basom Batavia Bath Bay Shore Bayport Bayside Bayville Beacon Bear Mountain Bearsville Beaver Dams Beaver Falls Bedford Bedford Hills Belfast Bellerose Belleville Bellmore Bellona Bellport Bellvale Belmont Bemus Point Bergen Berkshire Berlin Berne Bernhards Bay Bethel Bethpage Bible School Park Big Flats Big Indian Billings Binghamton Black Creek Black River Blauvelt Bliss Blodgett Mills Bloomfield Blooming Grove Bloomingburg Bloomingdale Bloomington Bloomville Blossvale Blue Mountain Lake Blue Point Bohemia Boiceville Bolivar Bolton Landing Bombay Boonville Boston Bouckville Bovina Center Bowmansville Bradford Brainard Brainardsville Branchport Brant Brant Lake Brantingham Brasher Falls Breesport Breezy Point Brentwood Brewerton Brewster Briarcliff Manor Bridgehampton Bridgeport Bridgewater Brier Hill Brightwaters Broadalbin Brockport Brocton Bronx Bronxville Brookfield Brookhaven Brooklyn Brooktondale Brownville Brushton Buchanan Buffalo Bullville Burdett Burke Burlingham Burlington Flats Burnt Hills Burt Buskirk Byron Cadyville Cairo Calcium Caledonia Callicoon Callicoon Center Calverton Cambria Heights Cambridge Camden Cameron Cameron Mills Camillus Campbell Campbell Hall Canaan Canajoharie Canandaigua Canaseraga Canastota Candor Caneadea Canisteo Canton Cape Vincent Carle Place Carlisle Carmel Caroga Lake Carthage Cassadaga Cassville Castile Castle Creek Castle Point Castleton On Hudson Castorland Cato Catskill Cattaraugus Cayuga Cayuta Cazenovia Cedarhurst Celoron Center Moriches Centereach Centerport Centerville Central Bridge Central Islip Central Square Central Valley Ceres Chadwicks Chaffee Champlain Chappaqua Charlotteville Chase Mills Chateaugay Chatham Chaumont Chautauqua Chazy Chelsea Chemung Chenango Bridge Chenango Forks Cherry Creek Cherry Plain Cherry Valley Chester Chestertown Chichester Childwold Chippewa Bay Chittenango Churchville Churubusco Cicero Cincinnatus Circleville Clarence Clarence Center Clarendon Clark Mills Clarkson Clarksville Claryville Claverack Clay Clayton Clayville Clemons Cleveland Cleverdale Clifton Park Clifton Springs Climax Clinton Clinton Corners Clintondale Clockville Clyde Clymer Cobleskill Cochecton Cochecton Center Coeymans Coeymans Hollow Cohocton Cohoes Cold Brook Cold Spring Cold Spring Harbor Colden College Point Colliersville Collins Collins Center Colton Columbiaville Commack Comstock Conesus Conewango Valley Congers Conklin Connelly Constable Constableville Constantia Coopers Plains Cooperstown Copake Copake Falls Copenhagen Copiague Coram Corbettsville Corfu Corinth Corning Cornwall Cornwall On Hudson Cornwallville Corona Cortland Cortlandt Manor Cossayuna Cottekill Cowlesville Coxsackie Cragsmoor Cranberry Lake Craryville Crittenden Croghan Crompond Cropseyville Cross River Croton Falls Croton On Hudson Crown Point Cuba Cuddebackville Cutchogue Dale Dalton Dannemora Dansville Darien Center Davenport Davenport Center Dayton De Kalb Junction De Peyster De Ruyter Deansboro Deer Park Deer River Deferiet Delancey Delanson Delevan Delhi Delmar Delphi Falls Denmark Denver Depauville Depew Deposit Derby Dewittville Dexter Diamond Point Dickinson Center Dobbs Ferry Dolgeville Dormansville Dover Plains Downsville Dresden Dryden Duanesburg Dundee Dunkirk Durham Durhamville Eagle Bay Eagle Bridge Earlton Earlville East Amherst East Aurora East Berne East Bethany East Bloomfield East Branch East Chatham East Concord East Durham East Elmhurst East Greenbush East Hampton East Homer East Islip East Jewett East Marion East Meadow East Meredith East Moriches East Nassau East Northport East Norwich East Otto East Pembroke East Pharsalia East Quogue East Randolph East Rochester East Rockaway East Schodack East Setauket East Springfield East Syracuse East Williamson East Worcester Eastchester Eastport Eaton Eden Edmeston Edwards Elba Elbridge Eldred Elizabethtown Elizaville Elka Park Ellenburg Ellenburg Center Ellenburg Depot Ellenville Ellicottville Ellington Ellisburg Elma Elmhurst Elmira Elmont Elmsford Endicott Endwell Erieville Erin Esopus Esperance Essex Etna Evans Mills Fabius Fair Haven Fairport Falconer Fallsburg Fancher Far Rockaway Farmersville Station Farmingdale Farmington Farmingville Farnham Fayette Fayetteville Felts Mills Ferndale Feura Bush Fillmore Findley Lake Fine Fishers Fishers Island Fishers Landing Fishkill Fishs Eddy Fleischmanns Floral Park Florida Flushing Fly Creek Fonda Forest Hills Forestburgh Forestport Forestville Fort Ann Fort Covington Fort Drum Fort Edward Fort Hunter Fort Johnson Fort Montgomery Fort Plain Frankfort Franklin Franklin Springs Franklin Square Franklinville Fredonia Freedom Freehold Freeport Freeville Fremont Center Fresh Meadows Frewsburg Friendship Fulton Fultonham Fultonville Gabriels Gainesville Gallupville Galway Gansevoort Garden City Gardiner Garnerville Garrattsville Garrison Gasport Geneseo Geneva Genoa Georgetown Germantown Gerry Getzville Ghent Gilbertsville Gilboa Glasco Glen Aubrey Glen Cove Glen Head Glen Oaks Glen Spey Glen Wild Glenfield Glenford Glenham Glenmont Glens Falls Glenwood Glenwood Landing Gloversville Goldens Bridge Gorham Goshen Gouverneur Gowanda Grafton Grahamsville Grand Gorge Grand Island Granite Springs Granville Great Bend Great Neck Great River Great Valley Greene Greenfield Center Greenfield Park Greenhurst Greenlawn Greenport Greenvale Greenville Greenwich Greenwood Greenwood Lake Greig Groton Groveland Guilderland Guilderland Center Guilford Hadley Hagaman Hague Hailesboro Haines Falls Halcottsville Hall Hamburg Hamden Hamilton Hamlin Hammond Hammondsport Hampton Hampton Bays Hancock Hankins Hannacroix Hannawa Falls Hannibal Harford Harpersfield Harpursville Harriman Harris Harrison Harrisville Hartford Hartsdale Hartwick Hastings Hastings On Hudson Hauppauge Haverstraw Hawthorne Hector Helena Hemlock Hempstead Henderson Henderson Harbor Henrietta Hensonville Herkimer Hermon Heuvelton Hewlett Hicksville High Falls Highland Highland Falls Highland Lake Highland Mills Highmount Hillburn Hillsdale Hilton Himrod Hinckley Hinsdale Hobart Hoffmeister Hogansburg Holbrook Holland Holland Patent Holley Hollis Hollowville Holmes Holtsville Homer Honeoye Honeoye Falls Hoosick Hoosick Falls Hopewell Junction Hornell Horseheads Hortonville Houghton Howard Beach Howells Howes Cave Hubbardsville Hudson Hudson Falls Hughsonville Huguenot Huletts Landing Hume Hunt Hunter Huntington Huntington Station Hurley Hurleyville Hyde Park Ilion Indian Lake Inlet Interlaken Inwood Ionia Irving Irvington Island Park Islandia Islip Islip Terrace Ithaca Jackson Heights Jacksonville Jamaica Jamesport Jamestown Jamesville Jasper Java Center Java Village Jay Jefferson Jefferson Valley Jeffersonville Jericho Jewett Johnsburg Johnson Johnson City Johnsonville Johnstown Jordan Jordanville Kanona Katonah Kattskill Bay Kauneonga Lake Keene Keene Valley Keeseville Kendall Kennedy Kenoza Lake Kent Kerhonkson Keuka Park Kew Gardens Kiamesha Lake Kill Buck Killawog Kinderhook King Ferry Kings Park Kingston Kirkville Kirkwood Knowlesville Knox Knoxboro La Fargeville La Fayette Lacona Lagrangeville Lake Clear Lake George Lake Grove Lake Hill Lake Huntington Lake Katrine Lake Luzerne Lake Peekskill Lake Placid Lake Pleasant Lake View Lakemont Lakeville Lakewood Lancaster Lanesville Lansing Larchmont Latham Laurel Laurens Lawrence Lawrenceville Lawtons Le Roy Lee Center Leeds Leicester Leon Leonardsville Levittown Lewis Lewiston Lexington Liberty Lily Dale Lima Limerick Limestone Lincolndale Lindenhurst Lindley Linwood Lisbon Lisle Little Falls Little Genesee Little Neck Little Valley Little York Liverpool Livingston Livingston Manor Livonia Livonia Center Loch Sheldrake Locke Lockport Lockwood Locust Valley Lodi Long Beach Long Eddy Long Island Long Lake Lorraine Lowman Lowville Lycoming Lynbrook Lyndonville Lyon Mountain Lyons Lyons Falls Macedon Machias Madison Madrid Mahopac Mahopac Falls Maine Malden Bridge Malden On Hudson Mallory Malone Malverne Mamaroneck Manchester Manhasset Manhattan Manlius Mannsville Manorville Maple Springs Maple View Maplecrest Marathon Marcellus Marcy Margaretville Marietta Marilla Marion Marlboro Martinsburg Martville Maryknoll Maryland Masonville Maspeth Massapequa Massapequa Park Massena Mastic Mastic Beach Mattituck Maybrook Mayfield Mayville Mc Connellsville Mc Donough Mc Graw Mc Lean Mechanicville Mecklenburg Medford Medina Medusa Mellenville Melrose Melville Memphis Mendon Meridale Meridian Merrick Mexico Middle Falls Middle Granville Middle Grove Middle Island Middle Village Middleburgh Middleport Middlesex Middletown Middleville Milford Mill Neck Millbrook Miller Place Millerton Millport Millwood Milton Mineola Minerva Minetto Mineville Minoa Model City Modena Mohawk Mohegan Lake Moira Mongaup Valley Monroe Monsey Montauk Montezuma Montgomery Monticello Montour Falls Montrose Mooers Mooers Forks Moravia Moriah Moriah Center Moriches Morris Morrisonville Morristown Morrisville Morton Mottville Mount Kisco Mount Marion Mount Morris Mount Sinai Mount Tremper Mount Upton Mount Vernon Mount Vision Mountain Dale Mountainville Mumford Munnsville Nanuet Napanoch Naples Narrowsburg Nassau Natural Bridge Nedrow Nelliston Nesconset Neversink New Baltimore New Berlin New City New Hampton New Hartford New Haven New Hyde Park New Kingston New Lebanon New Lisbon New Milford New Paltz New Rochelle New Russia New Suffolk New Windsor New Woodstock New York New York Mills Newark Newark Valley Newburgh Newcomb Newfane Newfield Newport Newton Falls Newtonville Niagara Falls Niagara University Nichols Nicholville Nineveh Niobe Niverville Norfolk North Babylon North Bangor North Bay North Blenheim North Boston North Branch North Brookfield North Chatham North Chili North Collins North Creek North Evans North Granville North Greece North Hoosick North Hudson North Java North Lawrence North Norwich North Pitcher North River North Rose North Salem North Tonawanda Northport Northville Norwich Norwood Nunda Nyack Oak Hill Oakdale Oakfield Oakland Gardens Oaks Corners Obernburg Ocean Beach Oceanside Odessa Ogdensburg Olcott Old Bethpage Old Chatham Old Forge Old Westbury Olean Olivebridge Olmstedville Oneida Oneonta Ontario Ontario Center Orangeburg Orchard Park Orient Oriskany Oriskany Falls Orwell Ossining Oswegatchie Oswego Otego Otisville Otto Ouaquaga Ovid Owego Owls Head Oxbow Oxford Oyster Bay Ozone Park Painted Post Palatine Bridge Palenville Palisades Palmyra Panama Paradox Parish Parishville Parksville Patchogue Patterson Pattersonville Paul Smiths Pavilion Pawling Pearl River Peconic Peekskill Pelham Penfield Penn Yan Pennellville Perkinsville Perry Perrysburg Peru Peterboro Petersburg Phelps Philadelphia Phillipsport Philmont Phoenicia Phoenix Piercefield Piermont Pierrepont Manor Piffard Pike Pine Bush Pine City Pine Hill Pine Island Pine Plains Pine Valley Piseco Pitcher Pittsford Plainview Plainville Plattekill Plattsburgh Pleasant Valley Pleasantville Plessis Plymouth Poestenkill Point Lookout Poland Pomona Pompey Pond Eddy Poplar Ridge Port Byron Port Chester Port Crane Port Ewen Port Gibson Port Henry Port Jefferson Port Jefferson Station Port Jervis Port Kent Port Leyden Port Washington Portageville Porter Corners Portland Portlandville Portville Potsdam Pottersville Poughkeepsie Poughquag Pound Ridge Prattsburgh Prattsville Preble Preston Hollow Prospect Pulaski Pulteney Pultneyville Purchase Purdys Purling Putnam Station Putnam Valley Pyrites Quaker Street Queens Queensbury Quogue Rainbow Lake Randolph Ransomville Raquette Lake Ravena Ray Brook Raymondville Reading Center Red Creek Red Hook Redfield Redford Redwood Rego Park Remsen Remsenburg Rensselaer Rensselaer Falls Rensselaerville Retsof Rexford Rexville Rhinebeck Rhinecliff Richburg Richfield Springs Richford Richland Richmond Hill Richmondville Richville Ridge Ridgewood Rifton Riparius Ripley Riverhead Rochester Rock City Falls Rock Hill Rock Stream Rock Tavern Rockaway Park Rockville Centre Rocky Point Rodman Rome Romulus Ronkonkoma Roosevelt Rooseveltown Roscoe Rose Roseboom Rosedale Rosendale Roslyn Roslyn Heights Rotterdam Junction Round Lake Round Top Rouses Point Roxbury Ruby Rush Rushford Rushville Russell Rye Sabael Sackets Harbor Sag Harbor Sagaponack Saint Albans Saint Bonaventure Saint James Saint Johnsville Saint Regis Falls Salamanca Salem Salisbury Center Salisbury Mills Salt Point Sanborn Sand Lake Sandusky Sandy Creek Sangerfield Saranac Saranac Lake Saratoga Springs Sardinia Saugerties Sauquoit Savannah Savona Sayville Scarsdale Schaghticoke Schenectady Schenevus Schodack Landing Schoharie Schroon Lake Schuyler Falls Schuyler Lake Schuylerville Scio Scipio Center Scottsburg Scottsville Sea Cliff Seaford Selden Selkirk Seneca Castle Seneca Falls Severance Shandaken Sharon Springs Shelter Island Shelter Island Heights Shenorock Sherburne Sheridan Sherman Sherrill Shinhopple Shirley Shokan Shoreham Shortsville Shrub Oak Shushan Sidney Sidney Center Silver Bay Silver Creek Silver Lake Silver Springs Sinclairville Skaneateles Skaneateles Falls Slate Hill Slaterville Springs Slingerlands Sloansville Sloatsburg Smallwood Smithboro Smithtown Smithville Flats Smyrna Sodus Sodus Point Solsville Somers Sonyea Sound Beach South Bethlehem South Butler South Byron South Cairo South Colton South Dayton South Fallsburg South Glens Falls South Jamesport South Kortright South Lima South New Berlin South Otselic South Ozone Park South Plymouth South Richmond Hill South Salem South Wales Southampton Southfields Southold Sparkill Sparrow Bush Speculator Spencer Spencerport Spencertown Speonk Sprakers Spring Brook Spring Glen Spring Valley Springfield Center Springfield Gardens Springville Springwater Staatsburg Stafford Stamford Stanfordville Stanley Star Lake Staten Island Steamburg Stella Niagara Stephentown Sterling Sterling Forest Stillwater Stittville Stockton Stone Ridge Stony Brook Stony Creek Stony Point Stormville Stottville Stow Stratford Strykersville Stuyvesant Stuyvesant Falls Suffern Sugar Loaf Summit Summitville Sundown Sunnyside Surprise Swain Swan Lake Sylvan Beach Syosset Syracuse Taberg Tallman Tannersville Tappan Tarrytown Thendara Theresa Thiells Thompson Ridge Thompsonville Thornwood Thousand Island Park Three Mile Bay Ticonderoga Tillson Tioga Center Tivoli Tomkins Cove Tonawanda Treadwell Tribes Hill Troupsburg Trout Creek Troy Trumansburg Truxton Tuckahoe Tully Tunnel Tupper Lake Turin Tuxedo Park Tyrone Ulster Park Unadilla Union Hill Union Springs Uniondale Unionville Upper Jay Upton Utica Vails Gate Valatie Valhalla Valley Cottage Valley Falls Valley Stream Van Buren Point Van Etten Van Hornesville Varysburg Verbank Vermontville Vernon Vernon Center Verona Verona Beach Verplanck Versailles Vestal Victor Victory Mills Voorheesville Waccabuc Waddington Wading River Wainscott Walden Wales Center Walker Valley Wallkill Walton Walworth Wampsville Wanakena Wantagh Wappingers Falls Warners Warnerville Warrensburg Warsaw Warwick Washington Mills Washingtonville Wassaic Water Mill Waterford Waterloo Waterport Watertown Waterville Watervliet Watkins Glen Waverly Wawarsing Wayland Wayne Webster Weedsport Wellesley Island Wells Wells Bridge Wellsburg Wellsville West Babylon West Bloomfield West Burlington West Camp West Chazy West Clarksville West Copake West Coxsackie West Davenport West Eaton West Edmeston West Falls West Fulton West Harrison West Haverstraw West Hempstead West Henrietta West Hurley West Islip West Kill West Lebanon West Leyden West Monroe West Nyack West Oneonta West Park West Point West Sand Lake West Sayville West Shokan West Stockholm West Valley West Winfield Westbrookville Westbury Westdale Westerlo Westernville Westfield Westford Westhampton Westhampton Beach Westmoreland Westons Mills Westport Westtown Wevertown Whippleville White Lake White Plains White Sulphur Springs Whitehall Whitesboro Whitestone Whitesville Whitney Point Willard Willet Williamson Williamstown Williston Park Willow Willsboro Willseyville Wilmington Wilson Windham Windsor Wingdale Winthrop Witherbee Wolcott Woodbourne Woodbury Woodgate Woodhaven Woodhull Woodmere Woodridge Woodside Woodstock Worcester Wurtsboro Wyandanch Wynantskill Wyoming Yaphank Yonkers York Yorkshire Yorktown Heights Yorkville Youngstown Youngsville Yulan
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* Please provide a brief description of what happened:
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Was an ambulance called?		Yes    No
* What were the resulting injuries?
Do you have copies of your medical records?		Yes    No
Do you currently have an attorney?		Yes    No
I understand that submitting this form does not create an attorney client relationship. *