Personal Injury Case Evaluation

Complete the following form to allow the Weikel & Boyd Law Firm, PLLC to determine whether you have a likelihood of recovering damages for your injury. Submitting this form does not create an attorney-client relationship. Such a relationship is only formed upon the injured party and the Weikel & Boyd Law Firm, PLLC signing a legal services contract. By choosing to complete this form, you acknowledge that you understand no attorney-client relationship is being formed by submitting your request for an attorney to contact you.

First/Last Name *

Phone Number *

Email Address *

Your Address (City/State) *

State where injury occurred *

Date the injury occurred (exact date if known) *

Who is the injured person? *

What type of injuries were sustained? *

broken bones

stitches

surgery

scarring

birth injuries

burns

brain injuries

sexual abuse

hearing loss

vision loss

paralysis

death

property loss

other injuries

What do you believe is the cause of the injuries? *

Estimated amount of medical bills (paid & unpaid) to date? *

Does the injured party already have an attorney? *

I want an attorney to email or call me to discuss my case *

FIND US ON THESE SOCIAL NETWORKS

HELPING THE COMMUNITY

Weikel & Boyd Law Firm, PLLC is committed to helping our local communities and communities around the globe. To find out more click here.

Location

7533 Sunwood Drive, Suite 213
Ramsey, MN 55303

Contact Information

Office: 763-323-7676
Fax: 763-427-1941

Or click here to complete a questionnaire about your needs.

Quick Links

about us
what we do
our events
directions
contact us
latest news
disclaimer

business attorney
personal injury attorney
family law attorney
estate planning attorney
probate attorney
real estate attorney
arbitration/mediation

minneapolis web design by clearspace creative