Vehicle Accident Contact/Evaluation Form
The use of this website or this form for communication with Nicolet Law Office, S.C. or any employee of Nicolet Law Office, S.C. does not establish an attorney-client relationship.
Your name:
E-mail address:
Your telephone:
Name of the other person(s) involved in the accident:
Was your vehicle insured? Was the other vehicle insured?

Where and when did the accident happen?

Describe the accident:

Were you injured? Was anyone else injured?

If you were injured, have you been seen by a physician?

ClearSubmit

Conveniently Located:
Both offices are located just minutes off interstate 94 in downtown Eau Claire, Wisconsin and in downtown Hudson, Wisconsin. Serving Baldwin, Hudson, River Falls, Roberts, New Richmond, Somerset, Menomonie, Eau Claire, Amery, St. Croix Falls, Prescott, Ellsworth, Polk County, St. Croix County, Pierce County, Dunn County, and surrounding areas of Wisconsin.

1620 Ohm Ave                    Eau Claire, WI 54701         

511 Second Street          Suite 203                      Hudson, Wisconsin 54016.


Telephone:+1 715 835 5959
FAX:+1 866 908 1791
E-mail: info@eauclairebankruptcy.com

OFFICES LOCATED IN EAU CLAIRE WISCONSIN (715-835-5959) AND HUDSON WISCONSIN (715-377-2141)

Contact Us:
Phone: 1 715 835 5959
Copyright © Nicolet Law Office S.C., 2007-2011, All Rights Reserved
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1620 Ohm Avenue                   Eau Claire, WI 54701

Practicing in Hudson, River Falls, Roberts, Baldwin, Menomonie, New Richmond, Somerset, Ellsworth, Prescott, Amery, St. Croix Falls, Osceola, Eau Claire, Chippewa Falls. and Surrounding Areas of Wisconsin and Minnesota.