Mold Litigation Evaluation

We will review your submission, and promptly contact you with our determination of whether we can help you. There's absolutely no charge or cost to you for this service! We will not proceed with your claim until you give us your approval. This submission request is merely to obtain information, and not a formal request for legal representation.


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Personal Information
Name: *
Email: *
Address:
City:
State:
Zip Code:
Work (day) Phone: *
Evening Phone:
Cell Phone:

Location

Type of property involved:
Do you own or lease? :
Are there other homes or units similarly affected, if so, please explain: Yes No
Have you had to relocate due to the mold? If so, when?: Yes No

Damages:

Do you have property damage, personal injury? If so, please explain all home, building, personal injury, illness, damages:

 Yes No

Have you taken photographs of the damage?

 Yes No
Has the property been inspected/test by professionals? Who?

RESPONSIBLE Parties:
List the party(s) responsible:
When did you first become aware of the mold problem?
Have you filed an insurance claim? Yes No

Goals:
Please describe what you wish to accomplish:

Please describe any additional information: