Client Information

Person who you spoke with (point of contact)

Full Name *

Address

Street Address

City

State

Country

Postal code

Email *

Phone *

Have you or are you speaking with another law firm or attorney regarding your lemon law case?

Case Information

Year, Make And Model

Was the vehicle purchased or leased:

Was the vehicle purchased new or used: [If used, ask for mileage at the time of purchase]

How many miles on the vehicle now?

If used CPO?

What is the warranty on this vehicle? Basic: (ex. 3 years /36,000 miles) Powertrain: (ex 5years /60k miles) *if not sure google it*

Number of Presentations: [This does not include presentations for regular maintenance, confirm with client]

Current Issues with the vehicle today: Any future appointments set?

Any Communications with the Manufacturer [Find out time, ask what was discussed, what was the resolution, and documents that support communications]

Any important notes with client: (is client going on vacation, is client very unresponsive, have you received any documents, is client available on certain times of the day)

Upload Retainer Document

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Upload Purchase Agreement

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Upload Current Registration

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Upload Repair Orders

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )