Case Submission Form

Free, No-Obligation Legal Consultation with an Experienced California Personal Injury Attorney


For a free, no-obligation consultation with an experienced attorney regarding cases of personal injury and wrongful death, please submit the following response form. We will respect the confidentiality of your information to the fullest extent. Form submissions are relayed to us through our highly secure servers.

If you prefer, you may contact us Toll Free at 800-814-4771.

Tell us who you are and how we can contact you. Note: This information is strictly confidential and will not be communicated with anyone. It is necessary only for purposes of enabling us to do a conflict of interest check prior to responding to you. We cannot respond without being able to do our conflict check. ALL fields are required.

First Name
Last Name
Street Address
City
State
Zip
Email
Daytime Phone
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Why Do You Need Help? Please provide us with a brief overview of your situtation (in 750 words or less). Describe any accidents or injuries you need legal help for.
Date Injured or Date Learned of Injury
City and State Where Incident Occurred
Has anyone filed a law suit?  Yes No
Best Time to Contact
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Get the legal help you need now from an experienced personal injury trial lawyer!

Orange County Accident Lawyer, Wrongful Death Attorney, Personal Injury Law Attorney

Mr. Rapillo is a member of the California State Bar and the Central and Southern Districts of the United States Federal District Courts, and member of the Consumer Attorneys Association of California, Orange County Trial Lawyers Association and Consumer Attorneys Association of Los Angeles. Mr. Rapillo is former Vice President and Board member of the Orange County Trial Lawyers Association.

His Orange County personal injury law practice is dedicated to representing the rights of accident and injury victims and helping them to recover from their losses. Read Attorney John Rapillo's profile

Newport Beach Law Offices
2700 Newport Boulevard, Suite 172, Newport Beach, CA 92663
Phone: 949-675-5060 | Toll free: 800-814-4771

Huntington Beach Law Offices
17011 Beach Blvd., Suite 900, Huntington Beach, CA 92646
Phone: 714-848-4849 | Toll free: 800-814-4771