Other Claim

If you wish to receive a free evaluation of the merits of your claim, please provide us with the information requested below. We will forward your claim to one of the law firms in our network. They will evaluate your potential case and discuss its merits and possible value with you; however, the quality of their evaluation is dependent upon the accuracy and quality of the information you provide to us. Again, there is no cost to you whatsoever for this case evaluation.

Your full name:
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E-mail Address:
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Mailing Address:
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Home Number:

Work Number:

Best time to reach you if you prefer a response by telephone:

How would you like for us to respond to you (e.g., telephone, e-mail, regular mail, doesn't matter)?

Generally, in order to have a claim, you must prove somebody did something "wrong". Try to describe here exactly what was done to you or affecting you that you believe was "wrong" and describe why you believe it was wrong:

Who do you believe did this to you?

When did they do this to you?

Have you contacted any other lawyer about your potential claim and, if so:

  • Did the lawyer agree to represent you?
  • Are you still being represented by the lawyer?
  • Are you now seeking a lawyer to represent you, or are youjust looking for a second opinion?
  • Do you owe any other lawyer a fee in this matter?
  • If we are willing to represent you, do you wish to employ us?
  • Are there any other questions you wish answered?
  • Is there any other information that you want to provide us?
  • Would you like to arrange a personal interview?
  • Are there any other instructions you wish to give us?
  • How did you find our web site?
  • If you found us through a search engine, which keywords did you use to find us?
  • Please tell us what you think of our service and any suggestions you have to improve it:

     


If you are finished, agree with the above, and want to send this information by e-mail:

If you want to start over to correct or change information:

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