By submitting this information, we are not agreeing to take your case. We do not represent you at this time. But, if you send in this form, we will review your case and discuss your legal options and rights. If you have an advocate or have had an advocate in the past, please indicate whether you wish to have that individual contacted prior to our meeting and provide us written permission to do so. If you have a disability and need accommodations or assistance to complete this form, please contact us at (907) 308-3395 or have someone contact us on
your behalf.