This form takes about 3-5 minutes to complete. Your responses help us evaluate your case. You may be entitled to significant compensation.

Were you or your child abused or groomed by someone that was met on Roblox? *

Grooming and abuse on Roblox can include: An adult pretending to be a child or teenager to build trust · Moving conversations to private platforms like Discord, Snapchat, or text · Requesting or sending sexual images or videos · Asking to meet in person · Inappropriate sexual conversations with a minor

Where did the abuse or grooming originally take place? *

To make sure we understand your case:

Are you filling this out for yourself or on behalf of a child? *

Dependent Name *

Dependent DOB *

Dependent Relationship to Guardian *

How old were you/the child when the abuse or grooming started? *

Estimates are fine – exact dates and details are not required.

What platforms did the abuser use to communicate? *

What city & state did the abuse or grooming take place in? *

Approximately when did the abuse/grooming start *

Estimated dates are acceptable

Approximately when did the abuse/grooming end *

Estimated dates are acceptable

Answer to the best of your knowledge. Answering 'No' does not disqualify your case.

Did the abuse lead to physical sexual contact with the abuser? *

Were sexually explicit pictures or videos sent by the abuser? *

Did the abuse/grooming lead to traveling to or meeting the abuser in person? *

Were sexually explicit pictures or videos sent to the abuser? *

Did the abuser build a relationship over a period of time? *

Has there been a diagnosis or psychiatric help sought for depression, anxiety, or other mental health issues as a result? *

Are there any school records documenting mental health or behavioral issues as a result of the abuse? *

Has there been any self-harm as a result of the abuse? *

Your best estimate is fine. Many abusers lie about their age online.

What was the abuser's actual age? (to the extent known)

What did the abuser originally say their age was? (to the extent known)

Is there currently representation by another attorney or law firm for this matter? *

A member of our legal team will contact you within 24 hours to discuss your case.

Full Name *

Phone *

Email *

Date of Birth *

Gender *

Address

Street Address *

City *

State *

Postal Code *

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