Fillable Litigation Intake Information Sheet (Page 4 of 8) in pdf

Litigation Intake Information Sheet Page 4

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Complete Litigation Intake Information Sheet with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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Has this dispute caused you any emotional harm? Emotional harm

includes things such as aggravation, inconvenience, mental distress,

discomfort, anxiety, loss of sleep, or depression. You may not have any

emotional harm, but, if you feel that you do, please give details. _________

____________________________________________________________

What documents do you have to support your case? This could be

statements, collection letters, emails, faxes, your credit report, or anything

else in writing. List and describe them and attach a photocopy --not the

original--to this Questionnaire.

____________________________________________________________

Page 3 of 7

Litigation Intake Information Sheet Page 4

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