Do I have a case? (Online Questionnaire)

Name:
Telephone:

Did the other driver:	Rearend your car? Run a red light? Run a stop sign? Cross the centre line? Change lanes into you? Other – Describe:
Is your vehicle damage	A total loss? Over $2000?
Did you receive medical care?	Yes No
Did you miss time off work?	Yes No
What are your injuries?