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

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

Grooming and abuse on Snapchat can include: An adult adding your child through Quick Add, shared contacts, or location features · Sending or requesting sexual images or videos through disappearing messages · Using the app's privacy features to hide inappropriate conversations · Requesting to meet in person · An adult pretending to be a teenager · Inappropriate sexual conversations with a minor

How was the abuser first connected with on Snapchat? *

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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