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Completing this quote form is free and does not obligate you to retain anyone. The information you provide, including your e-mail address, is treated as confidential and will not be shared with anyone other than Licensed Legal Service Providers

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Online Inquiry & Quote Form

Completing this quote form is free and does not obligate you to retain anyone. The information you provide, including your e-mail address, is treated as confidential and will not be shared with anyone other than Licensed Legal Service Providers (Lawyers & or Paralegals and their staff members) who are part of the referral network, and who are also bound by the same rules of confidentiality and professional conduct. This form simply allows us to contact you at a convenient time or you can request an on-line contact.

Using the ‘details’ box, you can tell us about your situation and any additional details you feel are important.

All information should be entered exactly as it appears on your ticket.
All fields are mandatory, with the exception of ‘Details’.

Fill out the following:

Date of Violation

Location of Violation

Offence Type

Offence Section

Accident

Do you have a court date scheduled?

Your Name (First and Last)

Your Email Address

Your Daytime Telephone

Your Home Postal Code

City

Were there other parties/persons who might be considered victims in the incident, or who may have been charged with offences arising out of the incident?
YesNoDon't know

If yes, please include the names of any such parties/persons in the box below:

If you are confident that no other parties/persons were involved in the offence (other than the Police) you are welcome to add additional detail, or make further inquiry here; otherwise, please wait for us to contact you.