Use this e-mail submittal form to obtain a free consultation about your possible Florida motorcycle accident case.  If received before noon on Monday through Friday we can usually respond during the same day.  If you would prefer to speak directly with someone in our office about your possible case, please call us toll free (1-800-974-4929) and we will be glad to talk with you free of charge.  Of course we will keep all information strictly confidential regardless of whether we are able to help you.  Click to read our strict privacy policy. 

You may have to tell your browser to "allow blocked content" for this form to work.  

1. Please enter the injured person's name and address in the space provided below.

   
   

2. Enter injured person's sex and age:

   
   

3. Enter injured person's occupation:

   
   

4. Enter injured person's marital status:

   
   
   

5. Describe how you believe the accident happened:

   
   

6. When did the accident happen?
   (month,day, and year):

   
   

7. Where did the accident happen?
   (city, county, and state):

   
   

8. Please describe the physical injuries resulting from the accident:

   
   

9. If you are not the injured person, please state your full name,  and your mailing address, and please tell us your relationship to the injured person (ex: parent, spouse, friend, etc):

   
   

10. Enter your email address (PLEASE NOTE -- IF YOU DO NOT GIVE US YOUR CORRECT EMAIL ADDRESS WE WILL BE UNABLE TO REPLY BY EMAIL):

    
    

11. Enter your phone number:

    Please carefully review  all of the information you provided (especially your e-mail address) and when ready click on the "Submit Form" button below. 
    

The McMillen Law Firm represents motorcycle accident victims throughout Florida, including Orlando, Tampa, Jacksonville, Ft. Lauderdale, Bradenton, Clearwater, Daytona Beach, Fort Myers, Fort Pierce, Kissimmee, Melbourne, Miami, Naples, Panama City, Pensacola, Sarasota, St. Augustine, St. Petersburg, Sebring, Tallahassee, Vero Beach, and West Palm Beach, and the counties of Bay, Brevard, Broward, Collier, Dade, Duval, Escambia, Highlands, Hillsborough, Indian River, Lee, Leon, Manatee, Martin, Miami, Orange, Osceola, Palm Beach, Pinellas, Polk, St. John’s, St. Lucie, Sarasota, Stuart, and Volusia.