Collision Information
Marker & Crannell offers a free Illinois Traffic Crash Report and consultation to anyone injured in a car accident in Illinois because of someone else's fault.  The police report from your auto accident is a necessary and critical step in handling your case. We will obtain your police report for you, we will pay for it, and offer a FREE consultation regarding your vehicle collision and you owe us nothing...even if you don't sign up with our firm!
Sign in to Google to save your progress. Learn more
What is your full name? (e.g. "John Joseph Doe") *
What is the name of the driver that hit you? *
What is your email address? *
Date of Accident *
MM
/
DD
/
YYYY
Did your accident happen in Illinois? *
Responding Police Department (e.g. Illinois State Police, Naperville Police Department, Will County Sheriff) *
Did YOU receive a traffic ticket? *
Did the OTHER DRIVER receive a traffic ticket? *
Were you injured in the collision? *
Location of the accident (e.g. Plainfield-Naperville Road at Boughton or Mile 246 on I-55 North) *
Report Number (can be found on Driver Information Exchange or at the top right corner of the Motorist Report) *
You were a: *
Do you already  have an attorney? *
What is your home address? *
What is your phone number? *
What is your Driver's License number? *
What state issued your driver's license? *
I hereby authorize Marker & Crannell to use the above information to obtain a police report regarding my car accident.  My private information will only be used for this purpose.  I understand that no attorney-client relationship is created by filling out this form and no such attorney-client relationship has been formed until an attorney-client agreement has been executed by you and Marker & Crannell.  Marker & Crannell warrants that it will not use the information provided herein or from the police report for any purpose other than to provide the police report to you and to evaluate the potential case. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy