Confidential
Inquiry Form
If you or someone you know may have a
potential personal injury claim, please
fill out the following brief, confidential
questionnaire. By submitting the information
below, we will be able to contact you
concerning your inquiry. We will do our
best to answer, but the laws differ from
state to state and with the limited information
on such a short form, we cannot get all
the information upon which to provide
legal advice upon which you should rely.
Do not make any decisions on your case
without a full legal consultation with
GREG JONES, P.A. or other legal counsel.
The submission of this form does not
constitute an attorney-client privilege
nor a request for legal advice. Since
this matter may involve a different state’s
laws, submission of this form agrees
that local counsel may be contacted for
referral of the matter.
There is no charge for this evaluation.
If you do not wish to complete
the form, you may email me at info@gregjoneslaw.com
*Note: Name and Email address are required
to send this form. |
