The Law Office of Richard Wagner, A Professional Corporation Address: 9431 Haven Avenue, Suite 100, Rancho Cucamonga, CA 91730(714) 721-4423 Please enable JavaScript in your browser to complete this form.Email *Your email addressName *FirstLastPhone *ZIP (5 numbers) *Date of the incident *Do you already have an attorney ? *NoYesType of legal problem *Asbestos and MesotheliomaAuto Accident InjuryChild Birth InjuryCriminal DefenseDivorceDUINursing Home AbusePersonal InjuryPolice BrutalityVaccination InjuryWorkers CompDo you have a doctor treatment ? *NoYesWere you at fault ? *NoYes, I was cited or caused the accidentYes, but it was the result of a tree, animal, or other act of natureThis category often requires a legal fee. Are you willing to pay for a law firm to assist? *YesNoBrief summary of the incident *WebsiteSubmit
