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William R. Noelker Law

Case Evaluation

Please fill out the following for a free case review. The information submitted will be accorded the utmost confidentiality. Please provide the following information for the person in need of assistance.

Note that information marked with a red asterisk (*) is required.

* Full Name

Date of Birth

* Full Address

* E-Mail

Phone

Please provide an overview of the legal matter you need assistance with.


Injury Cases

If you need assistance with an injury matter (including wrongful death claims, product liability claims and malpractice claims) please submit the following information as well.

City and State in which you were injured.

Please describe your injuries.

Please describe any treatment you are presently receiving or have received for your injuries.

What is the approximate amount of your medical bills thus far?

If you have missed work due to your injuries, how much in lost wages and/or benefits have you sustained?

If you are currently represented by another attorney, please provide the attorney’s name, address and phone number.


If You Are Not The Injured Party

If you have filled this information out for someone else, and are not the person in need of assistance, please answer the following:

Full Name

Home Phone

Relationship to the person in need of assistance (e.g. parent, spouse, friend)

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.