Forms

Clients who suffered an injury during employment must complete Workers’ Compensation forms here:
Download

Clients who suffered injury because of any other accidents except work accident, such as auto, bus, bicycle, sleep and fall, must complete Personal Injury forms here:
Download

To expedite your claim, we need your complete and sign retainer including all the supporting documents. You may email us your signed document in PDF if you have a secured email to:
info@statewidelawpc.com
You may also mail your completed forms to our mailing address below:

13891 Newport Avenue
Suite 130
Tustin, CA 92780