Complimentary Diary Request Form

Injury claims can take time to resolve. Over time the important details that add value to your claim can get forgotten.

Becker Lavin & Wessler, the auto injury lawyers who care, are pleased to send you a Free Diary to help you record what you need to remember.

Simply fill out the form below and your Free Personal Diary will be sent to you.

* required fields.

First Name:	*
Last Name:	*
Address:	*
City:
Province:
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Email:	*
Phone:
Date of MVA:

Disclaimer

Please note that there are time limitations for all injury claims. Certain limitations expire within a month of the accident. In order to protect your rights we must be hired to act for you. If your accident was more than 18 months ago call us immediately.

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