REQUEST AN ATTORNEY REFERRAL FORM

After filling in the fields below, click "submit" at the bottom of the page. We will contact you with a referral to an attorney or other legal service that is right for you in one to two business days. Bold fields are required.

1. How did you hear about us?

2. Have you ever used our service before?
Yes No
3. First Name
4. Last Name
5. Is the attorney for someone other than you:
Yes No
If yes, that person's name:
First Name:
Last Name:
6. Daytime phone number:
7. Preferred method of contact:
Phone Email
If email, please provide your email address:

8. City:
9. State:
10. Zip:
If you believe you qualify for reduced-fee services (please refer to Frequently Asked Questions), you must provide the following income information. Please note, if you are referred to a reduced fee attorney, you will be required to provide income documentation directly to the attorney, such as pay stubs or tax returns
Household gross monthly income (before taxes):
Number of people in household:
11. What would you like an attorney to do for you?

For assistance defining your legal problem, please call our trained staff at (617) 742-0625 Monday - Friday, 8:00 a.m.-5:30 p.m. to discuss your situation.

When you consult with an attorney, you should agree on any additional fees and terms of representation before you proceed.