Name

First Name

Last Name

Phone

(###)

###

####

Address

Has suit been filed, and if so, provide court and case number.

Are you plaintiff or defendant?

Do you currently have an attorney?

Is there a pending court date or other deadline, and if so, what is upcoming and when?

What is the amount in controversy?

What is the general subject matter of the lawsuit?

Law Office of Attorney Jay Rothlein

Litigation Questionnaire