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Cruise Ship Liability Form

Cruise Ship/Maritime Liability Case Form

NOTE:  An Asterisk (*) Indicates REQUIRED Information.

*Full Name:

Home Address:

City:

State:

Zip:

Phone Number:

  

*E-mail Address:
 

What Cruise line and ship were you traveling on when you were injured?


 

When did you sustain your injury?


 

Describe your injury and how it happened?


 

What did the staff of the boat do to help?


 

Was further medical attention required, if so, what type of medical care and
treatment did you receive?


 
   

The use of the Internet for communications with the firm will not establish an attorney-client relationship and messages containing confidential or time-sensitive information should not be sent.
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The Miami, Florida, law firm of Panter, Panter & Sampedro, P.A. provides experienced legal advice and representation to injured people from throughout the state of Florida, including South Florida, the Florida Keys, Central Florida, and Northern Florida; Miami Dade, Duval, Leon, Marion, Orange, Hillsborough, Pinellas, Palm Beach, Lee, Collier, Monroe and Broward counties; and cities and communities such as Tallahassee, Jacksonville, Ocala, Orlando, Tampa, St. Petersburg, Clearwater, Fort Myers, Naples, West Palm Beach, Boca Raton, Fort Lauderdale, Hollywood, Miramar, North Miami Beach, Miami Beach, Hialeah, Coral Gables, Coconut Grove, Pinecrest, Kendall, Homestead, Key Biscayne and Weston.