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EMPLOYMENT, CIVIL RIGHTS,
AND LITIGATION SOLUTIONS

Home Questionnaire Forms Civil Litigation

Civil Litigation

Such as defamation, abuse of process, and breach of contract.

First Name Last Name Email Phone Number Address County City State ZIP

Best way to contact you

By Phone By Email

What action or actions occurred that you would like to pursue relief for through civil litigation? Who performed this action or actions? When did this action/these actions occur? What is your relationship with the person or entity responsible for this issue? Please explain what happened in more detail

Were you hurt?

Yes No

Did you require medical attention?

Yes No

Have you suffered financially as a result of the action/actions described above?

Yes No

Have you filed a formal or informal complaint?

Yes No

With whom did you file a complaint When did you make that report?

Was the report in writing?

Yes No

Did anyone witness the action or actions described above?

Yes No

If yes, please list what each witness has personally seen or experienced

Is there a known deadline you are facing?

Yes No

Have you ever filed a lawsuit of any kind before?

Yes No

If so, what type(s) of lawsuit have you filed, and what was the outcome?

Did someone refer you to us?

Yes No

Please do not include any confidential or sensitive information in this form. This form sends information by non-encrypted e-mail which is not secure.

Submitting this form does not create an attorney-client relationship.

Practice Areas

Employment Law
Civil Litigation
- Alternative Dispute Resolution
- Civil Litigation and Appeals
Civil Rights

1550 Wilson Blvd #700

Arlington, VA 22209

Phone: (703) 791-9087

We serve the following localities: Alexandria; Arlington; Fairfax; Falls Church; Fairfax County including Annandale, Burke, Centreville, Chantilly, Clifton, Great Falls, Herndon, Lorton, McLean, Mount Vernon, Newington, Springfield, West Falls Church, West Springfield, and Vienna; Loudoun County including Leesburg and Sterling; and Prince William County including Dale City and Manassas.

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Civil Litigation | Northern Virginia Harassment Lawyers The Erlich Law Office

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