Potential Client Contact Form

You may contact us by submitting the form below. All submissions go directly to our attorneys via email. There is no charge for submitting this form. One of our attorneys will get in touch with you directly to discuss whether we can assist you and, if so, the cost for our services. Please be advised – we cannot provide legal advice or information to non-clients via email.

Your Name*:
Email Address*:
Phone Number*:
Fees Requested: Hourly Fees Contingent Fees
Please provide the following information about the employer involved.
Employer*:
# of Employees:
Location of Employer:
 

If applicable, please provide the following:

Job Title:
Dates of Employment: to
Compensation: per Yr Mo Hr Other
Union: Yes No
How did employment end?: N/A – Still Employed Fired Quit Other
Briefly summarize your situation and reason for contacting us:
Please keep this summary as brief as practically possible and DO NOT provide confidential information – just a quick summary of what type of case you need help with.

* By checking this box, you understand and agree that sending us a request does not serve to engage our services. You must take all necessary steps to protect your rights unless and until we agree to accept your case and we both sign a written representation agreement.

When you submit this form, we will evaluate whether we are willing and able to assist you. If so, we will provide you with details about (a) what services we can provide, and (b) estimated fees for those services. We do not typically provide legal advice or other substantive case-related feedback as part of our initial screening process. If we cannot represent you, we may be able to provide referrals to get you pointed in the right direction.