Raiff Representation Consultation Form
Please take your time to complete the following questions. Provide all answers to the best of your ability. All information gathered on this form is confidential. This form must be completed as a perquisite to our consultation.

All of the information gathered below, while personal, will be helpful for our discussion regarding our strategy to assure you receive the most desirable outcome in your matter.

Please contact us should you need any assistance with this form: Contact@RaiffRepresentation.com or (213) 290-0818.

Thank you and we look forward to speaking with you!

The Team @ Raiff Representation
www.raiffrepresentation.com
@RaiffRep
Sign in to Google to save your progress. Learn more
Please provide your full name: *
Please provide your gender: *
Please provide your occupation and place of employment: *
Please provide an estimate of your income: *
Please provide your birthdate: *
MM
/
DD
/
YYYY
Please provide the opposing party's name, the opposing business's name, the anticipated partner, or any other relevant party to this consultation: *
Please provide the opposing party's gender: *
Please provide the opposing party's/business's occupation, industry, and/or place of employment (write N/A if not applicable): *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy