Thank you for contacting Honeycutt Law! Please read the privacy policy below and fill out this form in its entirety.
Privacy Policy
All information received from a prospective client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption.
How the Process Works
Step 1:
We complete the general information on this form today. If the case is ripe for review, we will send you a
Strategy Session and Intake Packet
to complete.
Step 2:
You gather and return the requested information to our office.
Step 3:
Once we receive all the requested information, we will schedule a strategy session to discuss our findings in more detail.
Step 4:
If your case is ready for representation, we will discuss the representation agreement at that time. If we need more information, we will give you an updated list of the items we need to determine representation. If we can not assist with your claim, then we will give you notice at that time.
Step 5:
We will either open your file as your representative or close your file and destroy all physical copies of your file that you provided to our office.
If you have any questions, please don't hesitate to contact our law offices:
Em: newcasereview@alaskaworkerscomp.com
Ph: +1 (907) 277-8000
We look forward to working with you!
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General Injury Information
What was your occupation/job title?
Please provide us with your formal job title if possible.
Date(s) of Injury
What Happened?
Please provide us with a brief explanation of how you were injured or developed a disease.
Have you received a Controversion Notice?
A Controversion Notice is typically sent via certified mail from your Employer's Workers' Compensation insurer.
Have you file a Workers' Compensation Claim?
A Workers' Compensation Claim is filed with the Alaska Workers' Compensation Board and is not the same as filing a Report of Injury with your Employer or a Workers' Compensation Insurer
What body parts are injured? What chronic diseases have you developed?
Examples: Lower left leg, thoracic spine, carpal tunnel, black lung, long-haul COVID, heart disease, cancer, etc.
How is this situation impacting you in your day-to-day life?
Examples: day-to-day chores, hobbies, familial relations
What else would you like us to know?
Please let us know if you think any additional information is relevant to your claim.
Referral Information
How were you referred to our law firm?
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For example, "Avvo", "Facebook", or "LawFirmName.com"
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Acknowledge and Submit
ACKNOWLEDGEMENT AND ACCEPTANCE
I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.
I acknowledge that I have read and hereby accept that I understand nothing on this document is legal advice.
I acknowledge that I have read and understand that submission of this form does not constitute the formation of an attorney-client relationship and that Honeycutt Law has not agreed to represent me in any matter.
I acknowledge that the strategy session is a complimentary service provided by Honeycutt Law and that Honeycutt Law is under no obligation to take my case.
I acknowledge that Honeycutt Law will only agree to represent me with my case after a thorough case investigation is completed. I understand that this process can take anywhere from a few days to a few months, and it largely depends on my ability to provide any additional requested information.
I understand and acknowledge that I should still continue to seek out other legal representation to find the best fit for my case and make an informed selection for representation.
I understand that Honeycutt Law reserves the right to refuse a complimentary Strategy Session at any time and for any reaon.