Fast, Free and Rewarding Workers Compensation Claims: START NOW

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START YOUR C-3 CLAIM NOW & GET THE MONEY YOU DESERVE: 100% FREE

The information you fill out below can be used by Gold & Fox to begin your C-3 Workers Compensation claim for you. This is 100% free and contingency-based work. Upon completion of this form, we will immediately contact you and explain to you how you can begin the process in which you will be able to receive the money and compensation that you are entitled to.

*Get Your Money Fast By Giving Us The Information We need! Gold & Fox Will Call You Right Away And Discuss Our 100% Free & Contingency Based Service With You.

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I Acknowledge that by signing this form I am retaining Gold & Fox LLC to represent me exclusively and solely in connection with a claim for Worker's Compensation benefits before the New York State Workers' Compensation Board and for no other purpose. I have been advised to consult with another attorney if i want to take any other action against anyone for injury or illness that i sustained at work and for which Gold & Fox LLC represent me in my worker's Compensation claim. I have been advised that if i decide to consult with another attorney that i should do so immediately in order to avoid any potential problems with the applicable Statute of Limitations which may act as a bar against any legal claim that I may seek.

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Fast, Free and Rewarding Workers Compensation Claims: START NOW

FREE CLAIM FORM

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START YOUR C-3 CLAIM NOW & GET THE MONEY YOU DESERVE: 100% FREE

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