On-Line Lawyer Referral Request

fields marked with * are required, please make sure to fill in all required fields before submitting the form.
Date:
*Name:
*Billing Address:
*City:
*State:
*Zip Code:
*Billing Phone:
Home Phone:
Pager/Cell:
*Email Address:
How Would You Prefer We Contact You?

What Is the Best Time To Contact You If It's By Phone?
*Area of Law:
*Briefly Describe Your Legal Problem:
(For Labor Referral, please include the name of your employer.)
*How did you find our website?
Preferred Appointment Day:
Preferred Appointment Time:
Court Date/Time:

Is the case in Los Angeles or Ventura County?
 
To obtain a thirty minute consultation with an attorney, there is a $35 administrative fee.

There is a no $35 fee if your legal problem concerns a personal injury, workers' compensation, social security or social security disability.

 
I understand that once the appointment is scheduled with the attorney, the $35 administrative fee is non-refundable.  

My case concerns a personal injury, workers' compensation, social security or social security disability.  

If you encounter any problems, Please send an email to bar@vcba.org and explain the nature of your problem.
 

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