Civil Litigation Contact Form Name Company Address Address (Cont.) City County State Zip Phone Phone 2 Fax Email Do you currently have an attorney? Yes No Information about the other party in your case Other party’s name Other names by which the other party has been known, including maiden name, previous married name, etc. Does the other party have an attorney? Services needed: Assaults Boundary Lines Business Practices Collections Other (Explain below) Landlord/Tenant Insurance Contractual Disputes Defamation Additional Information You understand that submitting this form does not create an attorney-client relationship and that information sent via e-mail may be intercepted. Please do not provide confidential information at this time.