Case Form

Initial Case Submittal Form (Oprima aqui por la version en Espanol de la Forma Inicial al someter el caso.) 
Use this Initial Case Submittal Form to provide the information we need to schedule your Free Consultation concerning your potential injury case.   We should respond to you on the same day or the next business day.  Please call (480) 706-1100 or 1 (877) 6-HASTINGS if you prefer to speak directly to someone in our office.
First Name of Injured Person
Last Name of Injured Person
Address of Injured Person Zip Code
Home Phone Number ( ) -
Alternate Phone Number ( ) -
Email Address
Type of Accident Motor Vehicle
Dog Bite
Slip and Fall
Other
Location of Accident In Arizona
Outside Arizona
Please provide a brief description of your accident-related injuries and the facts of the accident (event) which lead to your injuries

 

If you proceed with the submission of this form, you confirm that you have read and understand the Internet Email Notice.

Please call (480) 706-1100 or 1 (877) 6-HASTINGS if you prefer to speak directly with someone in our office.

 

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14 Convenient Locations

Central Phoenix (602) 433-2323

West Valley (623) 845-1345

Northeast Valley (602) 433-2323
by appointment only

Scottsdale (480) 706-1100
by appointment only

Mesa/Tempe (480) 649-1800

East Mesa/Apache Junction/Queen Creek
(480) 461-1100

Northwest Valley (602) 283-1500

Surprise/Sun City (623) 215-1100

Chandler/Gilbert/Ahwatukee (480) 706-1100

South Phoenix (602) 243-3002

North Tucson (520) 573-0400
by appointment only

South Tucson (520) 327-9700

Central Tucson (520) 573-0400

Casa Grande (520) 421-9100


Prescott Area Call (928) 445-4580

Flagstaff Area Call (928) 226-9100