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WORKERS' COMPENSATION
& PERSONAL INJURY​
ATTORNEY
866 FIRST AVENUE NE - SUITE A
​CEDAR RAPIDS, IA 52402

Tell us about your personal injury case...
Please complete this form to tell us about your case.
​Someone from Luneckas Law, P.C. will contact you soon, 
Name
Phone
Briefly describe what happened
Date of Accident
Email
Estimated total medical costs to date
Does the party at fault have insurance?
Estimated total loss of wages
Do you have full coverage insurance on your vehicle? (Yes, No or N/A)
Submit