EauClaireLaw.com River How Can We Help You? 715-832-3491


Firm Overview
Attorney Profiles
Practice Areas
FAQs
Online Library
Past Results
E-Newsletter
News
Contact Us / Map
Home
Business Law
Business Law Information Center

Family Practice
Family Law Information Center

Personal Injury
Personal Injury Information Center


Tell Us About Your Case

We invite you to contact us
for all of your legal needs.








PrintMail to a FriendBookmark

Because Results Matter -- Personal Injury Practice

Eau Claire, Wisconsin
Personal Injury Lawyers

Personal Injury Intake Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Phone:

Fax:

What happened?

When did the injury occur?

Where did the injury occur?

What injuries were suffered?

*How would you like to be contacted?
 Email
 Phone
 Fax
 Postal Mail

Where did you hear about this website?

 

The contents of this contact form are provided by and are the responsibility of the person posting the email communication. Your email will not create an attorney-client relationship and will not necessarily be treated as privileged or confidential. You acknowledge that any reliance on material in email communications is at your own risk.


Herrick & Hart, S.C.
116 West Grand Avenue
P.O. Box 167
Eau Claire, WI 54702
Tel: 715-832-3491
Fax: 715-832-3424