Massachusetts Auto Claim

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Welcome to Burke & Eisner's Instant Answer Service

Fill in the fields, submit the form, and we will contact you as quickly as possible after your submission.  If you would prefer, you can call us anytime at 1-800-838-0800.

When filling out the form please use the "Tab" key to move from box to box.  DO NOT hit the enter key until you have completed the form and want to submit it.
Date of the accident................  
Name of Injured Person.............
Your Name.............................
Relationship to injured person....
Daytime Phone Number.............

Night Phone Number.................

Address..................................
Address..................................
City........................................
State.....................................
Zip.........................................
Injured person's age.................

State where injury Occurred.......
Please provide a description of your case or question.
Please provide your e-mail address.  This is required so that we can respond to your inquiry. If you do not provide this then you may not receive a response, unless of course you have provided your phone number above.

We use your "Instant Answer" information solely to make a preliminary decision about whether you might have a claim and whether we might be able to help you.  In reviewing your information we are NOT agreeing to represent you or take your case.