Contact Name
Are you known by any other names?
Yes No
If yes, please list any other names you have used
Telephone Number
() –
Alternate Number
() –
Address
Does this matter involve a business that you own or run?
Yes No
If yes, provide the business name, address, and phone
Are you being sued?
Yes No
Name of the party suing you
Name, address, and telephone number of the attorney for the party suing you, if any
Date you were served with court papers
/ /
Name and location of the court you are being sued in
Are you suing someone or planning on suing them
Yes No
Please provide their name
How much are you suing for/ how much are you being sued for?
$.
Please provide us with a brief description of what your matter is about
