Wufoo

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
Email *

We strongly recommend that you include an email address. That is usually the fastest way to contact you for more information. We do not share your email address with anyone other than an attorney who may be willing to assist you.
Military Status *
Military Branch *
Are you receiving VA Disability benefits? *
Yes No
Your Age *
18-24 25-34 35-44 45-54 55-64 65 or older
What is your monthly household income? *

Include your income from all sources for all adults in your household. Enter the number only without a comma or dollar sign
How many people are in your household? *
County in Wisconsin where you need help *
Case number and county
Maximum Allowed: 75 characters. Currently Used: 0 characters.

Cases in Wisconsin will typically have a number like 2012-SC-036. You can find your case number here http://wcca.wicourts.gov/
Type of legal issue *
Are you currently represented by an attorney in this matter? *
Name of the opposing party *

This is very important. We need to know the name of the individual or company on the other side so that attorneys can check for conflicts. You can enter multiple names. If there is no opposing party, just enter "none" or "N/A"
Brief description of the legal problem and your objective *
Must be between 10 and 300 words. Currently Used: 0 words.

Rather than the entire history of the problem, what is the current issue and what do you hope a lawyer can help you accomplish? The maximum is 300 words.
Do Not Fill This Out