Email Address (required)

First Name

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Telephone

Cell

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Any Disciplinary Action?
YesNo

Law Firm/Organization/School Affiliation (if any)

How will you be taking Cases?
IndividuallyThrough your Organization

Do you have malpractice Insurance?
YesNo

Languages spoken other than English
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Areas of Practice/Expertise:
Civil LitigationCivil RightsCriminal LawFamily LawProbate Guardianship

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