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If you have questions about how we can help you or your loved one with a personal injury claim, a criminal charge, bankruptcyfamily law, workers' compensation claims, or a Social Security Disability (SSD) claim, contact us anytime. We respond promptly to inquiries. We are happy to answer your questions and schedule an appointment to meet with you.

Please contact us at one of our locations , email or by filling out the form below:

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Cellular or Pager:
Facsimile:

Are you known by any other names? Yes No
If yes, list other names you have used:

What is your marital status?

Does this matter involve a business you own or run? Yes No
If yes , provide the business name, address and phone:

If business in involved, how is the business organized (if known)?

Are you employed? Yes No
If yes, please provide your job title and employer's name and address:

Can you be contacted at work? Yes No

What area of law does your situation involve (if known)?

Describe your situation including any relevant dates:

How would you rate your legal needs described here?

Are any other people involved? Yes No
If yes, provide names, addresses (if known) and their relationship to you
if any:

Do you have any documents that could help explain your situation?
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If yes, list those documents and their dates:

Are there other documents that you do not have access to that could be
of assistance? Yes No
If yes, list those documents and their dates and locations (if known):

Describe how this situation has impacted you:

Describe what you would like to happen to resolve your issue
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Have other attorneys worked on this matter? Yes No
If yes, provide names, addresses and a brief description of their involvement:

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