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Please note our Fairfield Office has moved! You can now visit us at 1455 Oliver Road!

Accident Report Page

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Accident Report Form

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Report Number

First Name*

Last Name*

Date of Accident

MM slash DD slash YYYY

Location of Accident (street and cross street)

Which Policy Agency Filled Out the Report*

Who Was At Fault*

Email*

Phone number*

Description

Consent*

I authorize Wells Call Injury Lawyers to retrieve the accident report on my behalf.

COMPLETING THIS FORM DOES NOT CREATE AN ATTORNEY-CLIENT RELATIONSHIP BETWEEN YOU AND WELLS CALL INJURY LAWYERS.

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Disclaimer: 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. By submitting your request via our online forms or chat, you grant permission to our law firm or any affiliate or law firm we refer you to contact you by phone, text messaging, automatic telephone dialing system and/or a telephone dialing system using artificial or prerecorded voice message, and/or email using the phone number or email address that you provided so we may assist you with your request for a free case evaluation and you consent to our use of an automatic telephone dialing system, even if the number you provide us is a wireless line. Being contacted is not a condition of purchase or acceptance of services of any kind.

Napa Office
2180 Jefferson St # 208
Napa, CA 94559
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Fairfield Office
1455 Oliver Rd #110
Fairfield, CA 94534
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Vallejo Office
521 Georgia St #101
Vallejo, CA 94590
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Vacaville Office
411 Davis St STE 201
Vacaville, CA 95688
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Woodland Office
285 W Court St, Suite 206
Woodland, CA 95695
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Richmond Office
3150 Hilltop Mall Rd Ste 112
Richmond, CA 94806
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Downtown Office
1503 MacDonald Ave Suite A
Richmond, CA 94801
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Free Case Review *Required Fields
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