SUBMIT THIS FORM TO REQUEST A CONSULTATION

In order to assess your situation adequately, we need you to provide as much detailed information as possible. Your submission will be kept strictly confidential, whether or not we take your case.  If you fail to provide complete information*, including your full name and contact information, along with the full name of your employer, you may not receive a response.

*Please use a personal email address and phone number. Using your business number or email may waive attorney-client privilege.

 

Your Full Name (required)

Your Email Address (required)

Your Phone Number (required, ex: 1234567890)

Are you currently employed? (required)
YesNo

Who is/was your employer? (required)

Describe your situation (required)

What are your goals?

How did you hear about us? (required)

436 14th St. #1117 Oakland, CA 94612

+ (510) 735-6316

http://lazearmack.com/contact/