Our office will be closed on 12/12/24 for an office retreat, and also closed from 12/24/24-1/1/25. If you have an urgent matter during these times please email [email protected] or [email protected] for assistance.
Ivancich & Costis, LLP
866-432-2133
  • Home
  • Attorneys
    • Athena R. Costis
    • Lisa E. Ivancich
  • Practice Areas
    • Workers’ Compensation
    • Social Security Disability
    • Personal Injury
  • Staff Contacts
  • Resources & Forms
  • Youth Foundation
  • Blog
  • Contact
Ivancich & Costis, LLP
866-432-2133
  • Home
  • Attorneys
    • Athena R. Costis
    • Lisa E. Ivancich
  • Practice Areas
    • Workers’ Compensation
    • Social Security Disability
    • Personal Injury
  • Staff Contacts
  • Resources & Forms
  • Youth Foundation
  • Blog
  • Contact
Ivancich & Costis, LLP
  • Home
  • Attorneys
    • Athena R. Costis
    • Lisa E. Ivancich
  • Practice Areas
    • Workers’ Compensation
    • Social Security Disability
    • Personal Injury
  • Staff Contacts
  • Resources & Forms
  • Youth Foundation
  • Blog
  • Contact

 866-432-2133

Where The Injured
Go To Protect Their Rights

  1. Home
  2.  — 
  3. New Client Intake Form

Workers’ Compensation Intake Form

Alternatively, Download the Word version here: New Client Intake Form

Practice Areas

  • Work Accidents and Injuries
    • Construction Injuries
    • Lump Sum Settlements
    • Mandatory Settlement Conference FAQs
    • Medicare Set Asides
    • Utilization Reviews
    • Workers’ Comp For Public Safety Officers
    • Workers’ Comp for School District Employees
  • SSDI Claims
    and Appeals
    • SSDI Hearings
  • Personal Injury Claims
    • Premises Liability
    • Motor Vehicle Accidents

Learn How We Can Help

Contact Us

Ivancich & Costis, LLP

Address:

3440 Hillcrest Ave
Suite 175
Antioch, CA 94531
866-432-2133

Fax:

Antioch Office

Hours:

Monday: 9AM – 12PM, 1 – 5PM
Tuesday: 9AM – 12PM, 1 – 5PM
Wednesday: 9AM – 12PM, 1 – 5PM
Thursday: 9AM – 12PM, 1 – 5PM
Friday: By Appointment Only
Saturday: Closed
Sunday: Closed

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