PRINCIPAL OFFICE: DALLAS, TEXAS: (214) 670-9989 | TOLL FREE: (866) 670-9989

Potential Case Submission Form

No attorneys’ fees unless you recover. Court costs, litigation expenses, and medical bills are paid from your share of the recovery. If there is no recovery, you will not be responsible for any court costs or litigation expenses, except for unpaid medical bills.

We represent people throughout Texas. If you would like our firm to review your case, call us at (214) 670-9989, or toll-free at (866) 670-9989. You may also complete the form below.

Please provide the following information, click the “Submit Form” button at the bottom, and our law firm will contact you regarding your potential case.  The Law Offices of Dean Malone, P.C. and its attorneys do not hereby agree to take the submitted case, but rather will only do so through a written agreement with a prospective client.

Please list the names of all persons and companies that you believe could be liable for the incident resulting in injury or death.

What caused the injury or death?

What is the approximate amount of medical expenses incurred as a result of the incident?

Was there a death as a result of the incident?

What type of medical treatment was given?

Please list the names of all people injured as a result of the incident.

What was the date of the incident?

Please give a complete description of the events leading to the injury or death.

Please provide the following contact information:

Are you currently involved in a bankruptcy proceeding?

What is your county of residence?

Is there any additional information which you would like to provide?