1. What license do you hold?

2. License #:

3. Brief description of action pending:

4. How did you find us?

5. Is there a specific attorney you would like to speak to?

SELECT YOUR SERVICE

1. Investigation or Accusation?

Is this work related?

Other Services

If any, names of individuals involved and witnesses:

Please read this, it is important:

By submitting this potential client intake form you are not establishing an attorney-client relationship with GRT. We are making no commitment to take your case and we are not taking any action on your behalf. In the event that we might be interested in taking your case we will communicate with you further and gather more information. No attorney-client relationship will exist if and until you and GRT execute a comprehensive attorney-client retainer/fee agreement.

Note, GRT does not offer free or no cost consultations or evaluations in most cases.