Law Offices of Adam M. Kotlar
Below, please find various forms that will help our office better serve your needs, as
well as provide you with fast access to important documents.
Personal Injury:
Medicare Release Form - If you are receiving medicare benefits, please fill out this form (sign, date, date of injury & medicare number) and bring it to your initial consultation or upon attorneys' request.
Medical Authorization Sheet - Please complete upon attorneys' request.
Claim Petition - Please sign & notarize upon attorneys' request.
Application for Review - Upon attorneys' request, complete within two years after your case is settled.
well as provide you with fast access to important documents.
Personal Injury:
Accident Intake Sheet - Please bring to your initial consultation.
Workers' Compensation:
Medicare Release Form - If you are receiving medicare benefits, please fill out this form (sign, date, date of injury & medicare number) and bring it to your initial consultation or upon attorneys' request.
Medical Authorization Sheet - Please complete upon attorneys' request.
Claim Petition - Please sign & notarize upon attorneys' request.
Application for Review - Upon attorneys' request, complete within two years after your case is settled.
Estate Planning:
Personal Data Sheet - Please bring to your initial consultation.