Fairfield County, CT Office 235 Main Street Danbury, Connecticut 06810 Map and Driving Directions Phone: (203) 791-2600 First Name: * Email: * Phone: * alternate phone no: Address: City: * State: *---Select Your CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Country: * Zip: * Date of Incident:* Name of Adverse Parties if Known: How Did You Find the Web Site?: Additional Comments : Please leave this field empty. Please do not include any confidential or sensitive information in this form. This form sends information by non-encrypted e-mail which is not secure. Submitting this form does not create an attorney-client relationship.   Hermann Law Group, PLLC – Our experienced disability benefits lawyers, represent clients throughout Connecticut, New York State and New Jersey. Contact us for more information.