Personal Injury Intake Form

Motor vehicle accidents, slip and fall, and catastrophic injury claims.

⚠ Important: Important — Limitation Period: Ontario personal injury claims must generally be commenced within 2 years from the date of the accident or discovery of the injury. For motor vehicle accidents, you must also notify the at-fault driver's insurer promptly. Missing this deadline may permanently bar your claim. If your incident date is approaching 2 years, contact us immediately.

Full Legal Name *

Date of Birth *

Phone Number *

Email Address *

Current Address *

Date of Incident *

Type of Injury Matter *

Urgency *

Describe What Happened in Full Detail *

Document Upload (Optional)

PDF, JPG, PNG, DOCX. Max 25MB per file, 10 files max.

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0 of 10 files attached.

I confirm: (1) the information I have provided is protected by solicitor-client privilege; (2) submission of this form does not create a solicitor-client relationship or retainer; (3) Livingstone Law Professional Corporation will review my matter and confirm whether they are able to assist; (4) my data is stored on Canadian servers in compliance with PIPEDA and the Law Society of Ontario Rules of Professional Conduct.