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Workers' Compensation Contact Form

Back injuries and repetitive motion injuries such as carpel tunnel syndrome are among the most common work-related injuries for which workers' compensation benefits are paid. Contact an attorney to determine whether you have a valid claim.

Answers to Your Workers' Compensation Questions

If you have been seriously injured at work, you want to know more about your rights and options. The short answer is that all injured workers are entitled to workers' compensation. The long answer depends on the extent of your injury and how it occurred. At the Oak Brook, Illinois Law Offices of Francis J. Discipio, our attorneys are here to answer any questions you may have about the benefits you deserve. Contact us today for a free initial consultation.

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Workers' Compensation Contact Form

Name

E-mail Address

Phone Number

When were you injured or did you become sick?

Were you working at the time of the accident or harmful circumstance?
Yes  No 

For whom?

What work-related activity were you engaged in at the time you were injured?

How did the accident or harmful circumstance happen?

Were your injuries caused by tool or equipment failure or use?
Yes  No 

If your injuries were caused by tool or equipment failure or use, who manufactured, distributed and/or sold the equipment with which you were working?

When and where did you first seek medical care for your injury?

What was your diagnosis? Prognosis?

Who is your physician(s)?

Had you ever experienced similar symptoms in the past?
Yes  No 

Did the accident or harmful circumstance exacerbate a pre-existing injury?
Yes  No 

Did the injury cause you to miss work?
Yes  No 

Has your doctor authorized you to return to work?
Yes  No 

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Getting to Know Francis

Francis owns a title company, Esquire Title, in addition to managing a collection agency. He brings over 20 years of valuable courtroom experience to every case by showing his dedication, determination and attention to the finest details of each case.

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