Please fill out the following Case Evaluation form and provide as much information as possible. All information is kept strictly confidential and is used only by Richard Allaye Chan, Jr., A Professional Corporation for the evaluation of your case. By accepting and reviewing this completed form it is not creating an attorney client relationship. Rather the information is accepted by the firm in order to make a determination whether or not we can accept your case.

Please read before submitting: If you are currently represented by an attorney please do not submit this form.