Handling Cases Throughout The State Of Florida For Over 35 Years!

What Is The Value Of My Case?


Wrongful Death

Free Initial Consultation

Please take a moment to fill out this short form. It is important to note that every case is different and there are numerous factors that affect the valuation of any given case. You must fill in fields with "*" in order for us to process your request properly. When you have finished with the form hit the submit button at the bottom of the page and a member of our staff will contact you as soon as we receive your information. Thank you.

All information you provide to the Law Office of Charles R. Scully is Confidential, and will not be given to, or discussed with others without your express permission.

--Please do not give a written or recorded statement to the insurance company--

* First Name:
Last Name:
Title: Mr. Mrs. Ms.
Marital Status: Single Married Divorced Separated Widowed
Address:
City:
State: Zip:
* Home Phone: -
Work Phone: -
Cell Phone: -
* Email Address:
Who was involved in this incident?
Where did the incident occur?
Date of incident:
* Description of incident:
Is there a will involved?
Has a personal representative been appointed?
What is the name of the personal representative?

Please review your information before sending.