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D.R. Roseen Attorney at Law, LLC                                    O: +1 323 902 7779
931 Monroe Drive, NE Ste 102A-307                                RoseenLaw.com
Atlanta, GA 30308                                                          Support@RoseenLaw.com

Roseen Law | General Intake Form


Thank you so much for contacting our law office! Please read the Privacy Policy below, and then fill out this form in its entirety prior to any consultation. Note: Completion of this form does not create an attorney-client relationship. Representation begins only after a signed Engagement Agreement and Fee Arrangement.

Privacy Policy

All the information you provide our law firm as a prospective or current client is strictly confidential. Information collected is used only for evaluating potential representation and providing legal services, if retained.

We collect personal information to verify your identity, run conflict-of-interest checks, and better understand your legal needs. Our firm will use your information in the event that you hire us to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

If you have any questions, please don't hesitate to contact our office and direct your inquiry to one of the following departments:

Intake: Intake@RoseenLaw.com
Technology Support: Tech@RoseenLaw.com
Billing: Billing@RoseenLaw.com
General Assistance: Support@RoseenLaw.com

We look forward to working with you!

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For example: receive monetary compensation for damages you faced, demand people take or cease activities under the law, obtain general legal advice.

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.