Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirely prior to our consultation.

Privacy Policy

All information received form a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption.

Your Social Security number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

Social Security numbers are most often used to positively identify parties. Most courts require Social Security numbers of all parties in a case. Some other examples of how this information may be used include:

initial service

in court orders

in required reports or other documents filed with the State

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

Client Information

Contact information: Client

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

Zip/Postal code

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Phone numbers

Phone number

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Opposing Party Information

____________________________

Contact information: Opposing Party

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

Client Information

Contact information: Client

Any Other Names Used

SSN

Employment

Opposing Party Information

Contact information: Opposing Party

Any Other Names Used

SSN

How were you referred to us?

I understand that payment is expected at time of service.