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
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What is the date and location of your marriage (if applicable)? If the parties were never married, you can skip this question:
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