Rio Law Group Website

1
What legal issue are you experiencing?* This field is required.
Employment Issues
Elder Abuse
Slip & Fall
Unwanted Phone Calls/Texts
Identity Theft
2
What work issue are you experiencing?* This field is required.
Wrongfully Terminated
Discriminated Against
Wage and Hour Issues
Denied Breaks or Overtime Pay
Injured at Work
Sexually Harassed
Medical Condition/Disability
My Employer Doesn’t Like Me
Other
3
Where did the injury happen?* This field is required.
Nursing Home
Assisted Living Facility
Hospital
Private Home
4
How were you injured?* This field is required.
Wet floor
Object on floor
Uneven surface
Stairs
Other
5
Were you in California when the fraud happened?* This field is required.
YesNo
6
Have you received unwanted texts or voicemails from a company?* This field is required.
YesNo
7
Did you work at this company in California?* This field is required.
YesNo
8
Did this issue occur within the last 2 years? * This field is required.
YesNo
9
How long did you work at this company?* This field is required.
More Than 12 Months
3 to 12 Months
Less Than 3 months
10
Do you have any proof (screenshots, emails, texts, videos, or witnesses)?* This field is required.
YesNo
11
Does your employer have a history of this behavior? * This field is required.
YesNo
12
Did you receive any calls that played a recorded message or robotic voice?* This field is required.
YesNo
13
Did you receive texts after you replied “Stop”?* This field is required.
YesNo
14
Do you have screenshots of the texts or voicemails that you can send us?* This field is required.
YesNo
15
What injury occurred?* This field is required.
Bedsores
Fracture / Broken Bone
Infection
Brain Bleed
Death
Soft-Issue Injuries
Other
16
Did this happen in California? * This field is required.
YesNo
17
Did this happen in the last 2 years?* This field is required.
YesNo
18
When did your slip and fall occur?* This field is required.
Within the last 30 days
Within the last 90 days
3 to 12 months ago
More than 1 year ago
19
Did you seek medical treatment for this injury?* This field is required.
Yes, I saw a doctor or went to the hospital
No, I did not seek medical treatment
20
Did the fall happen on a curb or sidewalk?* This field is required.
YesNo
21
When did you first notice the fraudulent charges or accounts?* This field is required.
Past 60 days
Past year
Over a year ago
22
Have you already filed an FTC Identity Theft Affidavit or a Police Report? * This field is required.
YesNo
23
Do you have your recent credit reports ready to share?* This field is required.
Yes, saved as PDFs
Not yet, please guide me
24
Name* This field is required.
First Name
Last Name
25
Email* This field is required.
example@example.com
26
Phone Number* This field is required.
Area Code
Phone Number
27
Privacy Policy:* This field is required.Visit Rio Law Group's Privacy Policy.
I agree to the Rio Law Group's Privacy Policy
28
Terms & Conditions:* This field is required.By submitting this form with your phone number, you agree to Rio Law Group’s Terms & Conditions. You also agree to Rio Law Group and its third-party affiliates contacting any phone number, including mobile, or email entered for marketing and informational purposes, including by automatic dialing system or pre-recorded message, even if the number is on governmental or company-specific Do-Not-Call Registries. By providing your phone number, you agree to receive informational text messages from Rio Law Group. Consent is not a condition of purchase. Message frequency will vary. Msg & data rates may apply. Reply HELP for help or STOP to cancel.
I agree to the terms & conditions of the Rio Law Group.
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