Vehicle Accident Contact/Evaluation Form


Our Eau Claire Office is located at:

1620 Ohm Ave,
Eau Claire, WI 54701
715-835-5959

Our Hudson Office is located at:

511 2nd Street, Suite 203
Hudson, WI 54016
715-377-2141

Our Minnesota Office is located at:

683 Bielenberg Drive Unit 105
Woodbury, MN 55125
651-815-0017
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:
Located minutes off interstate 94 in historic downtown Hudson, Wisconsin. Serving Baldwin, Hudson, River Falls, Roberts, New Richmond, Somerset, Menomonie, Eau Claire, Chippewa Falls, and surrounding areas of Wisconsin.

511 Second Street             Suite 203                      Hudson, Wisconsin 54016.


Telephone:+1 715 377 2141
FAX:+1 866 908 1791
E-mail: russell@nicoletlaw.com

Contact Us:
Phone: 1 715 377 2141
Copyright © Nicolet Law Office S.C., 2007-2011, All Rights Reserved
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511 2nd Street Suite 203    Hudson, Wisconsin 54016

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