Request for Free Consultation

Please use this form to submit an initial request for consultation. I prefer our initial contact to be through this form. Thank you.



* Required fields
Name *
E-mail Address *
Phone Number *
Date of loss *
State for which advice is sought *
What type of policy are you seeking help with? (click one) *
Have you made a claim with the insurer yet? (click one) *
Has the insurer denied any part of the claim? (click one) *
Do you have the policy in a form you can email or fax? (click one) *
Brief description of the nature of the loss and what I can help you with.
How would you like me to get back to you? (click one)

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Disclaimer: (You would not want to hire an attorney who did not have a legal disclaimer somewhere on his site, would you?)  We are not creating an attorney/client relationship by you submitting this information.  This attorney/client relationship will only arise through an engagement letter signed by both of us.



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