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Questionnaire       

 

If you would like Hirst & Chanler LLP to evaluate your case on a privileged and confidential basis, please complete the information below.

 

Be as detailed as possible.  If you would rather send us a written response, please provide the information requested and send it to us at our Sacramento address at Hirst & Chanler LLP, 455 Capitol Mall, Suite 605, Sacramento, CA 95814.

 

I agree that the questionnaire below does not constitute a request for legal advice and that I am not forming an attorney-client relationship by submitting this information.  I understand that I may only retain an attorney by entering into a fee agreement, and that I am not hereby entering into a fee agreement.  I agree that any information that I will receive in response to the questionnaire is general information and I will not be charged for a response to this submission.  I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice.  Since this matter may require advice regarding my home state, I agree that local counsel may be contacted for referral of this matter.

 

Your Name
Address
City
State
Zip Code
Home Phone
Work Phone
Fax
Cell Phone
Email
What is the best time and method to contact you?
What is your profession/job title?
Who is your employer?
What entities are involved in the fraud?
Can you describe the fraud scheme?
Did you have any involvement in the fraud? If so, please explain.
What is your estimate of the $ damages? Please describe how you arrived at this amount.

 

 

The information in this website is not intended to be legal advice.  We recommend that anyone not currently represented by an attorney who is reading this page to understand the law involved in False Claims Act or other cases seek experienced counsel to evaluate, file and pursue, if appropriate, any potential case on your behalf.

 

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