The Buckeye Institute General Litigation Intake Form
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1.     Name: *
2.     Address: *
3.     Email: *
4.     Phone Number: *
5.     What happened that prompted you to seek legal assistance (please be specific)? *
6.     Who or what entity was involved (government officials, county, state agency, etc.)? *
7.     When did the issue occur? *
8.     Where did the issue occur (city and state)? *
9.     How do you believe your legal rights were infringed? *
10.  Have you already contacted an attorney regarding this issue or does another attorney currently represent you regarding this issue? *
11.  If so, do you have a court date or other important deadlines for your case?
12.  How did you hear about The Buckeye Institute? *
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