| Contact Information | |
|---|---|
| First Name | Matthew |
| Last Name | Epperhart |
| Address | 425 Bluestone rd |
| City | Morehead |
| State | KY |
| Province | |
| Zip/Postal Code | 40351 |
| Country | United States |
| Home Phone | 606 - 784-6273 |
| Work Phone | - |
| Fax | |
| msuvice@hotmail.com | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Matthew - Epperhart |
| Date of Injury | 01/13/2008 |
| Type of Injury | Traumatic |