Submit Your Potential Case for Review

Please complete the intake form below if you would like an attorney to review your potential case.  Answer every section and provide as much information as you can.  If you are unable to answer a question specifically, simply estimate to the best of your ability.  We will contact you at our earliest convenience after reviewing the information provided.

Intake Form

This intake form is designed by our attorneys to obtain the most important information about your potential case in order to determine whether it's a matter we are able to assist with in a brief and direct way.  It is very likely that we will require additional information if we are able to represent you.  Don't worry if you don't know how many calls you received, as we should be able to subpoena your call records if we are able to pursue your potential case, which should give us an accurate estimate.

IF YOU PREFER TO CALL FOR A FREE CONSULTATION:

PHONE: (813) 500-1500

Potential Case Information
Please feel free to provide a reasonable estimate
What did you say? What did they say in response?*
Please feel free to provide a reasonable estimate
Please feel free to provide a reasonable estimate
If they are attempting to collect a debt, please provide the amount owed*
Have you suffered damages from a false listing? If so, what were they?
EXAMPLE: On an application*
When did the calls start? When did they stop? How many times did they call you after you asked them to stop?
Please save any future messages you receive*
Please save any future messages you receive*
Please explain the worst incident of harassment*
Contact Information
Name *
Name
Cell Phone
Cell Phone
Landline
Landline
Date of Birth
Date of Birth
Please include either a phone number or email address*