16155 W Twelve Mile Rd #6, Southfield, Michigan 48076
Phone: (248)424-9777 / Fax: (248)424-8396

L. J. Frank, P.C.

16155 W Twelve Mile Rd
Suite #6
Southfield, Michigan 48076

Phone: (248)424-9777
Fax: (248)424-8396

Claim Form

To submit a claims form to our office:


NAME OF CREDITOR

COMPLETE LEGAL NAME OF DEBTOR(S)

FULL ADDRESS OF DEBTOR(S)

DEBTOR(S) EMAIL

DEBTOR(S) PHONE

DEBTOR(S) FAX

AMOUNT OF CLAIM:$

DESCRIPTION OF GOODS OR SERVICES PROVIDED (PLEASE EMAIL ANY CONTRACT OR APPLICATION FOR OUR REVIEW):

WHAT LEGAL SERVICES CAN OUR FIRM PROVIDE?

YOUR CONTACT INFORMATION

* NAME

* PHONE & EXT

* EMAIL


* Please enter the security code shown below:

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We will get back to you by the end of the next business day to discuss your case and give you a quote for fees.