Confidential Case Evaluation

The purpose of this form is to provide basic information that our law firm will use to evaluate your potential qui tam case. We will treat all information you provide through this form as privileged and confidential. If you have any concerns about providing your information through this website, please feel free to call our Washington, D.C. office at (202) 973-0900 to provide your information by telephone, or send your information to our office at 2000 Pennsylvania Avenue, Suite 1010, Washington, DC 20006.