First name*
Last name*

Email*
Day phone*
Night phone*
When is the best time to call (and what is your time zone, e.g. PST, EST, etc.)?*

Your number, street, apt.*
City*
State/Province (two letter abbreviation)*
Zip*

When were you injured, or when did you first learn that you had been harmed?*
xx/xx/xxxx (e.g. 11/20/2004)

In what City, County and State did it happen?*

State the names & addresses of the wrongdoers:*

Describe in clear detail the injuries you have suffered:*

Please be aware that the transmission of an e-mail inquiry itself does not create an attorney-client relationship.

Audet & Partners cannot serve as your counsel in any matter unless you and our firm expressly agree in writing that we serve as your attorney. You should also be aware that the Statute of Limitations (the deadline imposed by law within which you may bring a lawsuit) may severely limit the time remaining for you to file any potential claims you may have.

Email is sometimes unreliable. If we do not respond to you in a reasonable amount of time, please feel free to call us at 877.775.6337.