Compensation Claim

New Client Forms

Please find the necessary forms to file you hearing loss workers compensation claim below. All forms are required so please call us at 608-882-6571 with any questions.

Once complete, either fax to:
608-882-6585 or mail to: Johnson Law Offices, P.O. Box 557, Evansville, WI 53536.

Hearing Loss Questionnaire

Past Hearing Tests

Consent Form

Record Release

Fee Agreement