INJURY NATION · CONSULTATION PREPARATION

Accident cost worksheet

Organize expenses, missed income and records before speaking with a lawyer. These totals are not a settlement estimate and do not show what an insurer or another person may owe.

No email or account is needed. Avoid names, medical details, policy numbers or other identifying information. Print your summary before closing this page; this worksheet does not save your entries.

1. Costs and income missed so far

Use US dollars. Enter each expense once. Include billed costs whether paid or unpaid; do not add payments toward those same bills again. Leave an amount blank if you do not know it.

Medical bills to date ER, treatment, imaging and prescriptions. Lost wages to date Income already missed; use supporting pay records. Other out-of-pocket costs Travel, equipment or home help not counted above. Property repair or replacement Keep property costs separate from injury expenses.

Use a non-negative amount with up to two decimal places. A blank means unknown or not entered; enter 0 only when you mean zero.

2. Future costs, kept separate Expected future medical costs Optional planning figure only. Ask about documentation if no written estimate is available. I have a written estimate supporting this future-cost figure.

3. Records you have ready

Check what you have. The summary will list unchecked items as records to locate or discuss, if applicable.

Bills and payment or insurance statements Pay records and dates of missed work Receipts for travel, equipment and other expenses Repair estimates and property receipts Available incident reports, photos and correspondence Insurance coverage information, if available

Ok, let's find a personal injury lawyer to discuss my case

Accident cost worksheet

Your consultation summary

Records to locate or discuss, if applicable

Questions for your consultation