Forms

Our intake forms can be downloaded from the links below. We ask that you complete this form to the best of your ability and be as honest and thorough as possible. This information is confidential and is protected under attorney/client privilege. Upon completion of this form, return it to us at your earliest convenience. We ask that you DO NOT fax this intake form to us.

This information will allow us an opportunity to evaluate and make a decision regarding your claim. Please make sure you give us a current/accurate phone number and complete address so that we may contact you upon completing our review of your claim. If you are attaching any additional supporting documents to support your claim, please attach only copies and keep the originals for yourself.

PLEASE FOLLOW THE INSTRUCTIONS CAREFULLY OR YOU COULD RISK LOSING YOUR WORK.

PLEASE DOWNLOAD OR CONFIRM THAT YOU HAVE A PDF PROGRAM INSTALLED ON YOUR COMPUTER BEFORE PROCEEDING. YOU CAN DOWNLOAD THE FREE ADOBE READER HERE: https://get.adobe.com/reader/

Once you have the software, please proceed with the instructions below:

1. RIGHT-CLICK on the appopriate Intake Form you need, once you RIGHT-CLICK it will looks like this on your screen:

Select the destination you wish to save the file to on your computer. Ex: Desktop.

2. Fill out the form with as much details as possible and SAVE the form.

3. Email the form to the address listed at the bottom.

 

Intake Form

Law Enforcement Intake Form