Bed Bug Claim Intake Form
We appreciate your interest in contacting our law firm in reference to your bed bug claim or lawsuit. Please complete the information below so that we can immediately begin to work on evaluating your case. Please provide us with as much detail as possible. Don’t forget to attach photos of your injuries at the bottom of the form. The completed form will be sent to our law firm upon completion. Please contact us if you have any questions about completing this form.