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Potential Case Form
This form cannot be submitted until all fields are complete. Please make sure that you have all of the required information BEFORE you begin. The form cannot be saved.

View a sample chronological case synopsis.
First Name:  *
Last Name:  *
Email:  *
Phone:  *
Address:  *
City:  *
State:  *
Zip Code:  *
Are you a PLF Donor? (Giving to PLF is not required for us to review or accept your case.)
 *
How did you hear about PLF?



 		  *
Case Litigation Category: Select the area that most closely resembles the situation you face  *
Is your case against a government body or agency?
 *
On what date, or in which year, did this situation begin?  *
What kind of help are you seeking from PLF?


 		  *
Has a lawsuit ever been filed regarding this matter?
 *
Have you consulted with/retained an attorney in this matter?
 *
If you've consulted with an attorney, please provide their contact information:  *
May we contact this attorney regarding your case?

 *
Briefly summarize your case IN CHRONOLOGICAL ORDER:  *
Did the government explain its actions or give you any reasons for its behavior?  *
Why do you think the government took these actions against you?  *


Information on Case Application Submissions:
Due to the large volume of potential cases that we receive, the Foundation will NOT be able to respond to each and every potential case. We will address only those small number of potential cases that fit within our core areas and that our limited resources allow.  Please refrain from contacting us regarding the status of your case application. Our Case Review Analyst or a PLF attorney may contact you to follow up if, after reviewing your case submission, PLF needs more information to decide whether  we will represent you.
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