Consultation Form



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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
First Last
Date of Birth (mm/dd/yyyy)
City, state, zip
(At least one phone number is required.
Use the format 555-555-5555.)
Work ext.
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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Other (please indicate):

Perez & Perez respects your privacy and does not sell or share your confidential information with any other parties. Read more about our privacy practices in our Privacy Policy.
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

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