Case Submission

Initial Case Submission

We are eager to review your legal needs. In order to do so please complete the Case Submission form below and we will get back to you within 48 hours – excluding weekend and holidays. You may also simply call our office to schedule a consultation.

Your Name*
First Last
Your Email*
Your Age*
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Does your case involve and injury or death?*
Date of injury or death*
MM slash DD slash YYYY
In one sentence, state what you think the other person did wrong.*
Describe your case
Please note: Transmission of information via this online case submission process is not intended to and does not create an attorney-client relationship, nor does it make you a prospective client for purposes of confidentiality. Unsolicited electronic correspondence is not protected from disclosure. Further, by submitting information regarding your case online, you consent to the dissemination of this information within our office for purposes of determining whether a conflict of interest may exist. To personally discuss potential legal representation in a confidential setting, you may request a consultation by calling the office at (360) 357-7791.
Acknowledgement
- Yes, I agree
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Phone
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