Lozano Civil Action -- Register Your Interest
This form is for persons who wish to register their interest in the Lozano Civil Action and receive updates about the case as it proceeds. Submitting this form does not constitute a request for legal services and does not create an attorney-client relationship with Tomlinson Bomsztyk Russ, Barraza Law, or Metz Law Group. The information you provide will be kept confidential and used only to contact you with case updates. If we believe you may be a potential plaintiff, we will reach out to you directly. We do not guarantee representation to anyone who registers.  
Sign in to Google to save your progress. Learn more
 I understand that by submitting this form I am registering my interest in the Lozano Civil Action only. I am not retaining legal counsel. No attorney-client relationship is created by submitting this form. Any representation requires a separate signed agreement.   *
Full Legal Name *
Phone Number *
Email Address *
Preferred language *
Did you hire Alexandra Lozano Immigration Law?    *
Approximately when did you hire the firm (month and year) *
Approximately how much did you pay the Lozano firm in fees? *
What type of case did the Lozano firm help you with? *
What is the current status of your case? *
Briefly describe what happened and how you were harmed.  A few sentences is fine. *
 I understand that submitting this form does not create an attorney-client relationship. I am registering my interest only. I may receive case updates. Any representation requires a signed agreement.   *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms