Client Referral

While completing this form do NOT click the browser's Refresh tool and do NOT click the back button as this may result in multiple submissions and payments.

Contact Information
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At least one phone number or e-mail is required.
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At least one phone number or a valid email is required if Representative information is provided.
Legal Issue

Please describe your legal issue, including details such as the name of the other party, dates of occurrence or upcoming hearings, and any prior legal representation for this issue.


1. To define the type of case, please select the "Primary Panel" then "Sub-Panel" that most closely matches your legal issue.

For example, if you need a lawyer to help you with a divorce and your spouse is contesting the divorce, you would select "Domestic Relations Law" for the primary panel then "Divorce & Dissolution" for the sub-panel. Also, "Criminal & Traffic Law" should only be used if the person needing an attorney has been charged with a criminal or traffic offense, NOT if the person wants to file a criminal complaint against a person or business.

2.  After submitting, you will be asked to pay a $30 fee and be provided the name of an attorney meeting the requirements you have selected.

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