This form takes about 1-3 minutes to complete. You may be entitled to significant compensation.

Were you or a loved one a victim of sex trafficking or forced prostitution at any hotel or motel? *

Did someone receive money in exchange for the sexual acts you were forced to engage in? *

How old were you when the sex trafficking or forced prostitution occurred? *

Date when the sexual trafficking or forced prostitution occurred: *

Approximate dates are acceptable...

Do you recall the name of the person who trafficked you or forced you to engage in sexual acts? *

What is the name, job title and/or description of the person that trafficked you? *

What was the name of the hotel or motel where the sex trafficking or forced prostitution occurred? Choose from the options below: *

If not listed above, kindly state the hotel name below: *

What state, city, or general region where the hotel was located? *

Were you forced to engage in the sex acts through physical force or threat of physical force? *

Did the sexual acts involve vaginal sex, anal sex or oral sex? *

Do you believe the hotel/motel staff was aware that forced prostitution or sex acts were occurring at the hotel/motel? *

How did you know that the staff was aware that forced prostitution or sex acts were occurring at the hotel/motel? *

To help our team fight for you, we need to understand the extent of the abuse. Can you describe what happened? *

Are you currently working with a lawyer or law firm for this situation? *

Full Name *

Email *

Phone *

Gender *

Address

Street Address *

City *

State *

Postal Code *

By submitting this form, I agree to Levy Konigsberg LLP’s Terms and Conditions and Privacy Policy, and consent to receive communications from Levy Konigsberg LLP via calls, text messages, emails, or other methods necessary for processing my potential case or contacted any other matter. Message frequency may vary, and msg & data rates may apply. Reply STOP at anytime to cancel. I understand that these communications may be made using automated systems.