Wizard

Start Your Request for Legal Help Here!*
What is the 5 digit zip code where you need legal help?*
Have you already hired or been represented by a lawyer for this issue?*
- Yes
- No
- Yes, but I want a new lawyer
Did you or do you plan on seeking medical treatment?*
- Yes, I was injured and received medical treatment (or plan to in the immediate future)
- Yes, I was injured but did not go in for medical treatment
- No, I was not physically injured
Was another identifiable party at fault for this accident?*
- Yes, another identifiable party is responsible
- No, I was at fault OR ticketed for this accident
- No, this was a hit and run
- No, this was a result of an object, animal, or event with no other identifiable party
What type of traffic violation were you involved in?*
- Moving Violation
- Parking Violation
How long ago did this incident occur?*
- Less than 1 Year
- Less than 2 Years
- Less than 3 Years
- Less than 4 Years
- Less than 5 Years
- 5 or more Years
Do you need a chiropractor for this injury?*
- Yes
- No
At what government level do you owe taxes?*
- Federal
- State
- Local
What type of taxes do you owe?*
- Income
- Property
- Corporate
What is your estimated total debt?*
- Less than $5,000
- $5,000 to $10,000
- $10,000 to $20,000
- $20,000 to $50,000
- More than $50,000
What is your monthly income?*
- Less than $1,000
- $1,000 to $2,000
- $2,000 to $3,000
- $3,000 to $4,000
- $4,000 to $5,000
- $5,000 to $7,000
- $7,000 to $10,000
- $10,000 to $15,000
- More than $15,000
What are your estimated total assets?*
- Less than $50,000
- $50,000 to $100,000
- $100,000 to $250,000
- $250,000 to $500,000
- $500,000 to $1,000,000
- More than $1,000,000
Do you own the property? (as oppose to renting)*
- Yes
- No
Are you a tenant or landlord?*
- Tenant
- Landlord
Are there charges pending?*
- Yes
- No
- No, already charged and seeking an appeal
- No, already charged and seeking expungement
What is your current location?*
- In the USA
- Outside the USA
What was your entry to the USA?*
- With Proper Documents/Visa and Inspection through Customs Border Patrol
- Illegally
- No Entry
- Other
What is your immigration status?*
- Out of Status (overstayed my visa)
- Current Visa Holder (in status)
- Lawful Permanent Resident (green card)
- Not Applicable (outside the USA)
- Other
For what immigration matter are you seeking help?*
- Citizenship (for current green card holders)
- Permanent Visa Family Based (green cards)
- Permanent Visa Business Based (green cards)
- Temporary Business Visa
- Temporary Tourist Visa
- Investor
- Asylum
- Self Petition (violence & abuse victims)
- Removal/Deportation Proceeding
- Other
Additional Immigration Details*
- In Deportation/Removal Proceedings
- Currently Detained (friend or family submitting this request)
- Out on Bond
- None Apply
Do you currently have social security disability benefits?*
- No
- Yes
Has the applicant had to stop or reduce work hours?*
- Yes
- No
Has the applicant worked least 5 of the last 10 years?*
- Yes
- No
Has the applicant previously applied?*
- No
- Yes, claim pending
- Yes, claim denied
What is the applicants age?*

eg. 48
When did this condition start?*
- Less than 1 Year
- Less than 2 Years
- Less than 3 Years
- Less than 4 Years
- Less than 5 Years
- 5 or more Years
Is the vehicle under warranty?*
- No
- Yes
Has the vehicle been serviced more than once or for at least 30 days for a problem?*
- No
- Yes
You work for an employer who is a...?*
- Sole proprietorship
- Partnership
- Franchise
- Privately held company
- Public corporation
- Federal Government Agency
- State Government Agency
- Don't know
Do you own a business?*
- No
- Yes
You stated you own a business. How many employees?*
- 1-2 employees (including self)
- 3-10 employees
- 11-50 employees
- 51-100 employees
- More than 100+

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