Initial Contact Form
Thank you so much for contacting MANN Trial Attorneys! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation. Please allow 5-10 business days for review and follow-up from our firm before contacting our law office. Submission of this form does not create an attorney-client relationship.
Contact information
Prefix
First name
*
Middle name
Last name
*
Emails
Email Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
Add email
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
How did you hear about us?
What happened?
Date of Incident
Were you (or your loved one) injured or arrested?
Injured
Arrested
Neither
Location of Incident
Address, City, ST, Zip Code
Can we text you?
Yes
No
ACKNOWLEDGE & ACCEPT
I acknowledge that I have read and hereby accept the Terms & Conditions of Submissions (below).
Thank You!
Results may vary depending on your particular facts and legal circumstances.
TERMS & CONDITIONS
PRIVACY POLICY
: All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption. Your Social Security Number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case. Social Security Numbers are most often used to positively identify parties. Most courts require Social Security Numbers of all parties in a case. Some other examples of how this information may be used include: initial service, in court orders, in required reports or other documents filed with the State.
CONFIDENTIALITY DISCLAIMER
: Your answers are confidential and will not be shared with anyone outside MANN Trial Attorneys. The answers you provide will be used for our attorneys to investigate and make a determination as to whether we can assist you, and how we may or may not be able to represent you in pursuit of your potential lawsuit. It is understood that MANN Trial Attorneys will rely on the facts and circumstances provided in your answers to provide an initial consultation and advise you based thereupon.
It is assumed that your answers to these questions are truthful, accurate, and based on your good faith belief or investigation, unless you note otherwise.
NO ATTORNEY-CLIENT RELATIONSHIP
: SUBMITTING THIS FORM
DOES NOT
CREATE AN ATTORNEY-CLIENT RELATIONSHIP WITH MANN TRIAL ATTORNEYS, THE MANN FIRM, LLC, NOR ANY OF ITS ATTORNEYS. SUCH AN ATTORNEY-CLIENT RELATIONSHIP CAN ONLY BE ESTABLISHED BY A FORMAL, WRITTEN, ATTORNEY-CLIENT ENGAGEMENT AGREEMENT SIGNED BY AN AUTHORIZED ATTORNEY OF MANN TRIAL ATTORNEYS.