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Case Submission

We are here to help! If you have been awarded a Civil Judgment in your favor and you would like to submit your case for a free comprehensive review. Please complete the fields below to the best of your ability. The more information we receive the better our assessment will be.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Plaintiff Information / Judgment Creditor

Business Name (if applicable):

First Name: *

Last Name: *

Address Street 1: *

Address Street 2:

City *

Zip / Post Code *

Day Time Phone *

Email *

Defendant Information / Judgment Debtor

Business Name (if applicable):

First Name: *

Last Name: *

Approximate age of defendant:

Address Street 1: *

Address Street 2:

City *

Zip / Post Code *

Case Details

Case Number: *

Amount of judgment: *

Amount collected to date: *

Date judgment was awarded: *

Court judgment was awarded in: *

State judgment was awarded in: *

County judgment was awarded in: *

Was the Defendant/Debtor present at trial?: *

Did an Attorney represent you?: *

Type of Claim: Please give a brief description of the reason for your claim: *

Other Information:

Comments: