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Contact Us

Thank you for contacting our law office. Please read the privacy policy below and then fill out this form in its entirety.

Our Privacy Policy

All information received from you is strictly confidential. Our firm takes every step possible to protect your privacy, and your data is protected and encrypted by our service providers. 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. Inserting your social security number is optional, but if hired, we will need to have this information because that is how courts and governmental entitles positively identify individuals.

Tell us about yourself

Name

Phone Number

Email Address

Address

Date of Birth

Social Security Number

Tell us how we can help

Please detail the issue or question you have for us

Please give us as much detail as you can and are willing because that will help us better prepare to help you

Do you have a preferred attorney?

How do you prefer we communicate with you?

How were you referred to us?

Thank you!

Thank you for completing this intake questionnaire. This information will be extremely helpful in evaluating your issue / question. We will contact you as soon as possible with any updates.

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. Message frequency may vary. (include your Privacy Policy Link here). Reply Help for more information. You can reply STOP to opt-out of further messaging

Please click the Submit Form button below when you have finished answering the questions and are ready to send everything to us!

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I acknowledge that I have read and accept the privacy policy at the beginning of this form.