Provide your contact information with a short summary of your situation. We will promptly provide a confidential lawyer consultation and claim evaluation. Please provide detailed information so we may reach you and better understand the nature of your potential case.
Please Read Carefully:

I am submitting this questionnaire and attachments for review by Mehr Disability Law Group. I understand the following:

1. That the submission of information is for review only and that there will be no charge for this review.

2. Mehr Disability Law Group and I have not entered into an attorney-client relationship and are not acting as my attorney unless and until a formal, written Retainer Agreement has been signed both by me and by a representative of Mehr Disability Law Group. No decision has yet been made on whether Mehr Disability Law Group will take my case and there is no guarantee that the firm will accept my case.

3. Further information may be requested in order for Mehr Disability Law Group to reach a decision.

4. It takes time to review the material submitted and to make any reply or decision. Because no attorney-client relationship has yet been established, I will be responsible until I am notified otherwise to meet all necessary deadlines and time frames applicable to my claim; and I acknowledge that I have not received any representations or legal opinions with respect to any time frames or deadlines that may be applicable to my claim.