Consultation Form

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For immediate assistance seven days a week, call (714) 961-1966.

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Free Consultation for Civil Defense Matters

Use this simple form to provide us with information that will help us prepare for your free consultation. The information you are providing via this form shall be treated confidentially and is protected under the Attorney-Client privilege. Once received, we will phone you back at our earliest convenience.

Please note that this form is for civil defense matters only. Use these links for other types of cases:

NOTE: * indicates a required field.

Personal Information

Name*

First	Last

Date of Birth (mm/dd/yyyy)

Address

City, state, zip

Country

Phone*:
(At least one phone number is required.
Use the format 555-555-5555.)

Home
Work	ext.
Mobile

Fax

E-mail

Case Information

Briefly explain what your case is about.*

Have you been sued?

Yes No

Describe what papers have you received, how you received them and when you received them.*

What is the amount the lawsuit is for? What property, if any, is involved in this lawsuit?

Information about the other party involved in this matter or their attorney (name, address, phone number, case number, next court date)

Is there police report involved in this matter?

Yes No

If yes, please provide the following information.

Police Department

Name	City

Police Report Number

Date of the Incident

Was anyone arrested?

Yes No

Describe your defense or other facts you wish us to consider in defending this matter.

Other Details

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The information provided at this web site by Perez & Perez, including all emails and newsletters, is not intended to be legal advice, and legal representation is subject to additional terms and conditions of a signed contract. To read more about this, please see our Legal Disclaimers.

1440 N. Harbor Blvd., Ste. 900, Fullerton, CA 92835, Phone: (714) 961-1966, Fax: (714) 961-1972