If you are interested in seeking legal representation in a victim restitution matter, please complete the following questionnaire and click submit.

1. Do you live in California?

Yes No

2. Is there a criminal case against the person or company which hurt you?

Yes No

3. Is that criminal case in California?

Yes No

4. Is that criminal case in state court (Superior court) or federal court (District court)?

State Federal

5. Only if the answer to #3 is yes, in what county is the criminal case?

6. What is the name of the person or company which caused the harm?

7. What is the status of the criminal case?

Still going on

Conviction or guilty plea or nolo contendre (no contest)

Dismissed

8. If you have suffered a loss caused by the defendant, please estimate the amount of the harm, including all stolen, damaged and embezzled property, as well as lost wages, lost profits, medical bills and counseling costs, which you can prove.

Up to $20,000

$20,000 to $40,000

Over $40,000

9. Does the defendant have assets such as bank accounts, a business, a house or investments?

Yes No I do not think so I do not know

10. Have you already received any restitution or payment from any source?

Yes No

11. Have you already filed a civil lawsuit for the harm you suffered?

Yes No

12. Please provide your name, phone number and address.

Name:
Address:
City:
State:
Zip:
Phone:
Email:

I understand that IP Business Law, Inc. has no duty to keep the information I am sending confidential. I understand that sending this information does not create an attorney client relation.