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If you have a claim you feel has been wrongfully denied by your insurance company, or if you or a loved one has been injured or have been wrongfully terminated, please complete this form for a No Cost / No Obligation Case Evaluation.

* Please describe your case?

* When did this matter occur?

* Where did this matter occur?

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* Who is this request for?
Myself Spouse/Minor Child Other Relative/Friend

* Is an attorney currently representing you? Yes No

* When do you expect to hire an attorney?

Please briefly describe your case, in 200 words or less, including any
injuries sustained or financial loss incurred.

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The Law Offices of Robert K. Scott will treat your inquiry in confidence; we do not undertake any other responsibility to you as a result of your inquiry. You have no obligation to us, and we have no other obligation to you, unless we both sign a written retainer agreement. There is absolutely no cost to you to submit this form.

The following information is required to contact you regarding your case.

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The Law Offices of Robert K. Scott - A Professional Corporation | 78-365 Highway 111, Suite 315, La Quinta, CA 92253 | Phone: 949-753-4950 | Email: Mail@RobertKScott.com