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Mold Infestation Inquiry Form

Please fill out the following information and press the SUBMIT button. All fields must be completed. If you don't know the answer, simply write Don't Know. This form is for an informational request only and does not establish an attorney-client relationship. No attorney-client relationship can be created with this Firm absent the execution of a retainer agreement signed by both you and an authorized representative of the Firm.


Your Name:
Street Address:
City:
State:
Zip Code:

Phone Number:
E-mail Address:

Your message:

In what type of building is the mold?
Where is the mold in the building?
What company or companies do you believe are responsible for the mold?

Please describe the problems experienced as a result of the mold:

Please describe the assistance that you require from our Firm:

The above information will most likely need to be reviewed by multiple staff and attorneys at our Firm. We should be able to respond to your inquiry within three days. If more than three days have past since completing this form, please phone us toll-free at 877-952-5242.