Civil General Matters

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Birth Date*

Who are the parties involved? Examples might be friend(s), an employer, co-worker(s), neighbor(s) or signor(s) of a contract.

Party*

First Name

Last Name

Relationship

Urgency*

Critical – Personal safety or continuation of business depends on it.

Very Important – Severe hardship, personal or financial inconvenience if matter is not resolved.

Important – Matter iterferes with business or personal financial stability.

Needs to be done, but no immediate hardship in the interim.

Just thought I would see if it is worth pursuing.

Just wanted to know what my rights are.

Please classify the urgency in concluding this matter.

Please explain the details of your case*

Our office will review your case information as quickly as possible and will contact you at our earliest convenience.

LAW OFFICE OF REBEKAH WEDICK