Thank you for contacting our office! Please read the privacy policy below, and then fill out this form in its entirety.

Privacy Policy

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your Social Security Number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

Social Security Numbers are most often used to positively identify parties.

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

THIS IS NOT AN AGREEMENT OF REPRESENTATION

THANK YOU

PLEASE CONTACT OUR OFFICE at 410-465-4665 or 301-818-0090

within 24 business hours of submitting this form for further assistance.

Thank you for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We look forward to discussing the case further with you.

Please click the SUBMIT button below when you have finished answering all questions.

Contact information

How were you referred to our law firm?

Area of Law you are requesting assistance with?

Briefly Explain your need for representation and the facts of your case.

What is the best time to reach you and by what form of communication?

If there is an active court case, please enter the case number(s) here.

Please list all known parties or individuals associated with your case (i.e. opposing parties, officers, witnesses ).

THIS IS NOT AN AGREEMENT OF REPRESENTATION

ACKNOWLEDGEMENT AND ACCEPTANCE

THANK YOU