Consumer Intake

Consumer Intake Form

Sarah M. Timmers Esquire

Consumer - General Intake Form

Free Text

In Need of a Consultation for a Consumer or Auto Fraud Matter? Please Fill Out Our Intake Form Below:

Full Name*

Email*

Phone Number (Best Contact)*

Residential Address*

Mailing Address*

Emergency Contact Information (Full Name, Phone Number, Email Address) *

Description of Complaint (chronological with key details)*

Discovery Date of Complaint*

Resolution Attempts (with responses, if any)*

Please List Any Receipts for Damages & Supporting Documents You Have Regarding This Matter.*

Witness Information (Full Name, Email Address and Specific Knowledge of the Matter)*

Have You Ever Been Involved in a Lawsuits or Convicted of a Crime?*

Referrals (How Did You Find Us?)*

Please Let Us Know When You Would Prefer To Have Your Consultation. (Provide Dates and Times Available).*

Completing this form does not establish an attorney-client relationship. This form is intended solely for the purpose of seeking legal advice from a licensed professional. If you understand and agree, please provide your first and last name along with the date.*

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AUGUSTA OFFICE

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Augusta, GA 30901

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Consumer Intake Form

Sarah M. Timmers Esquire

Consumer - General Intake Form

Consumer - General Intake Form

VISIT US

MARRIETA OFFICE

AUGUSTA OFFICE

HOURS

HOURS

CONTACT US