FPC Legal Potential Plaintiff Signup Form

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Please complete this form if you would like to be considered for FPC's legal action programs, including lawsuits.

Email *

FIRST NAME *

LAST NAME *

DATE OF BIRTH *

We need this so we can determine if you are a qualified candidate for our cases.

YYYY

PRIMARY PHONE NUMBER *

BEST DAYS/TIMES TO CONTACT YOU BY PHONE *

RESIDENCE STATE / JURISDICTION *

RESIDENCE COUNTY OR PARISH *

PHYSICAL RESIDENCE ADDRESS *

ARE YOU AN FPC MEMBER? *

Yes

Unsure

WILLING TO PARTICIPATE IN LAWSUITS? *

Would you be willing to consider participating as a named plaintiff in a lawsuit against the government to fight for your rights? See our Prospective Plaintiff FAQ at FPCPlaintiff.org

Yes

WHAT IS YOUR OCCUPATION? *

We need this to be able to perform our legal evaluation.

ARE YOU CURRENTLY A GUN OWNER? *

We need this to be able to perform our legal evaluation.

YES

NO, BUT CONSIDERING IT

COULD YOU PASS A GOVERNMENT BACKGROUND CHECK AND LEGALLY PURCHASE A FIREARM? *

YES

UNSURE

DO YOU HAVE A VALID/ACTIVE CARRY PERMIT ISSUED BY ANY STATE GOVERNMENT? *

YES

UNSURE

AREAS OF INTEREST / ISSUES OF CONCERN *

What issues are you concerned about, and/or how you have been affected or had your rights infringed? It's very helpful if you use examples like: "I want to be able to buy, possess, and carry handguns for self-defense," or "I want to be able to purchase semi-automatic firearms but I cannot because of a ban on so-called 'assault weapons'".

Bans on "assault weapons"

Bans on "large-capacity magazines"

Bans on "short-barreled rifles"

Bans on "suppressors"

Age-based bans (18-20)

Bans on prohibited classes

Bans on carry in public / locational restrictions

Carry permit requirements / burdens / costs

Waiting periods

Purchase limitations or rationing ("one gun per X days")

"Moral character" / "general welfare" / other subjective licensing criteria

Self-manufacturing / 3D2A / personal manufacture of arms

Body armor / defensive arms

Bans on non-firearm weapons

Taxes on firearms / ammunition / weapons

ATF rules or proposed rules

Searches or seizures / "red-flag" / ERPO / other protective or restraining order issues

Freedom of speech

Active criminal case

Required

OTHER ISSUES / AREAS OF CONCERN (DESCRIBE)

ARE YOU CONTACTING US ABOUT AN EXISTING CASE? (PLEASE EXPLAIN IF SO.)

IS THERE ANYTHING ELSE WE SHOULD KNOW / CONSIDER? (PLEASE EXPLAIN IF SO.)

VERIFICATION AND AGREEMENT

I understand and agree that submission of this form does not create an attorney/client or attorney/potential client relationship. I further agree that Firearms Policy Coalition, Inc. (FPC) and FPC partner attorneys will have no duty to keep confidential the information I am now submitting to FPC, unless it has already agreed to represent me or it later agrees to do so. I further agree that no information disclosed on this form will prohibit FPC attorneys from representing a different client in the matter and that FPC attorneys may make subsequent use of information submitted in this form. I further agree that FPC and our attorneys may contact you by phone or e-mail for purposes including but not limited to discussing your potential participation in our legal action programs, including lawsuits. Submission of this form does not guarantee representation or result. This is not an attorney referral service. If you have an active legal matter, you should directly contact an attorney licensed to practice in the jurisdiction. For legal advice on specific legal problems you should consult with an attorney licensed to practice law in the appropriate jurisdiction.

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