If you are injured by a car, bus, or truck in Washington, DC or Virginia call 911. No matter what. Even if you don't think you are hurt. Gather the following information or have a bystander help you. Fill in as much or as little as you want. It could be critical to ensuring you get benefits and justice. This form will be emailed to you for your records.

If you want Allyson Kitchel to contact you, select that option below and/or contact me at 202-949-7109.

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