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Please complete the application.      
*Indicates required fields
*Name
*Address
*City
*State
*Zip
*eMail Address
Phone Number
Type of Service Needed

Date of Occurrence
Problem (in your own words)
Desired result of your claim
Do you have proof such as receipts(s), witness(s), or anything you may have to support your claim.
Support for your claim
Who is the claim against?
Please give the name and address of the individuals and / or corporations involved.
People Involved.
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Print for your Records
**Note: Small claims matters will first need a demand letter submitted.
Pricing for this service will vary according to the complexity of the claim.

***All letters and claims are the responsibility of The Letter Writer and the above listed Client. 
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