Potential Case Submission – Commercial Litigation

No obligation submission of information.

    Business Name

    Contact Person


    Street Address


    Zip/Postal Code

    Daytime Phone

    Cell Phone


    Alternate Phone


    Name of Opposing Party

    Date of Incident Giving Rise to Claim


    Description of Claim

    Approximate Amount in Dispute

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    Has this matter previously been in litigation or arbitration? If so, please describe when and where and the current status of the matter.

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    I agree to the above.