Client Inquiry Information

Contact Info

Date *

First Name *

Last Name *

Cell Phone

Nature of your inquiry

How may we assist you? *

Type of Client *

Conflict Check

If you are contacting us on behalf of an attorney's office with a potential case that requires an FDE, please provide us with information so we may do a conflict check in advance of additional communications.

Case Name

Client Name

Court Case Number

Court location

Notes

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