Civil Complaint

1
Does your case involve a breach of contract or business dispute?* This field is required.
YESNO
2
Does your case involve a motor vehicle accident or other personal injury?* This field is required.
YESNO
3
We currently only assist with Breach of Contract or Personal Injury actions. If your matter involves other causes of action, you may submit a contact form to request a referral if one is available.

Contact Form: https://www.freelanceparaservice.com/contact-us.html

Sorry for any inconvenience this may have caused.
4
Your Name* This field is required.
First Name
Middle Name
Last Name
5
Your Address* This field is required.
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6
Your Email* This field is required.
7
Primary Phone Number* This field is required.
Area Code
Phone Number
8
How did you hear about us?
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9
Name and Address of Each Plaintiff* This field is required.Be sure to click "Save" after every entry to ensure that the information is submitted.
10
Name and Address of Each Defendant* This field is required.Be sure to click "Save" after every entry to ensure that the information is submitted.
11
How much do you claim the Defendant owes you?
12
Why does the Defendant owe you this money?* This field is required.Why does the Defendant owe you this money?
13
When did this happen?Please provide an approximate date.
Date
Month
Day
Year
14
How did you calculate the money owed to you?* This field is required.Briefly describe the claim for which you are suing.
15
Have you asked the Defendant to pay you the money you are owed?
YESNO
16
Terms of Service* This field is required.
17
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