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TOLL FREE 866.978.8118

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Please take a few moments to fill out the form below. Attorneys at The Law Offices of Eric Wewers will use this information to contact you. If you have been injured due to the fault of another — even partially — this form can help our attorneys determine if you have a claim.

At The Law Offices Of Eric Wewers we value your privacy. We will not share any of this personal information with a third party without consulting you first.

**Please include all your contact information.
First Name:
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Primary Phone:
Please list the best number to reach you at during business hours.
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Name of Injured Person (First and Last):


Approximate Age of Injured Person:


Approximate Date of Injury:


Location of Injury:


Please describe the injury. Give as much information as possible. No detail is too small.


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*** By submitting your Free Case Evaluation form, you hereby acknowledge that you have read the disclaimers set forth below and agree to them.

We are located in the Plaza West Building, two blocks north of Park Plaza Mall, and directly across the Street from Catholic High School for Boys in Little Rock, Arkansas.

From time to time, and for a variety of technical reasons (including the fact that the Internet may be down), there may be instances when our office does not receive this form.

If you have not heard back from someone within 2 business days, please call our office at 1- 800-455-0581.

Plaza West Building
415 N. McKinley, Ste. 1000
Little Rock, AR 72205
501.978.8118
toll free 866.978.8118
fax 501.975.2443
Email: eric@edwlaw.com

IFor detailed driving directions from any address, click on the map below or visit www.expedia.com for more details.