Personal Injury Referral Partner Sign Up
Your Name
First Name
Last Name
Your Email
example@example.com
Phone Number
Please enter a valid phone number.
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Firm Name
Select your firm's practice areas
Auto Accidents
Slip and Fall
Medical Malpractice
Product Liability
Mass Torts
Other
Are there are other kinds of cases you'd like us to refer to you that you pay referral fees on?
Workers Comp
Family Law
Criminal / Traffic
Corporate
Estate Planning
Bankruptcy
IP
Other
What state(s) does your firm practice in?
Are you open to creating a text group/ whatsapp group to communicate about leads?
Yes
No
Maybe
Are your attorneys available during business hours to get live phone transfers from our firm?
Yes
No
No, our staff does the intake
Sometimes
Are your attorneys available to get live phone transfers from our firm during nights and weekends?
Yes
No
No but we screen our emails after hours
No but we have an answering service
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