Please use this form to provide us with the initial details pertaining to your injuries in order to help us assess whether you have a case that we can assist you with. All the information that you provide will be kept confidential and will be sent by e-mail directly to Dietrich Law Office.

After we receive your inquiry, we will contact you to discuss how we can help you. Please note that Dietrich Law Office assists only Ontario residents. Also, we do not handle matters related to medical malpractice.

When we take on your case, we will represent you with no up-front legal fees.

About Your Personal Injury

Date the injury occurred
If you wish, you can attach up to 3 photos related to your injury or accident:

Your Personal Information

 I acknowledge that this request is non-binding and does not represent any form of retainer with Dietrich Law. Any limitation periods remain strictly the responsibility of the sender until a formal retainer agreement has been signed.