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. During this time, you should not assume we will accept your case so as to protect your rights and continue seeking legal counsel.

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

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.

Initial Contact Form

Contact information

Practice Area

Case Type

When did this happen?

In what state did the incident occur?

In what county did the incident occur?

Address where incident occurred

Is this an urgent matter?

Please briefly describe what happened.

Were you or a loved one injured during this incident?

What type of injuries were sustained?

Describe the injuries in more detail, including any diagnoses and/or treatments.

How did you find MANN Trial Attorneys?

Referral Source

Can we text or call you?

TERMS & CONDITIONS

ACKNOWLEDGE & ACCEPT

Thank You!