Name *

First Name

Last Name

Phone

(###)

###

####

Select one or more practice areas:

DUI

Family Law

Personal Injury

Other

What date were you arrested?

MM

DD

YYYY

What date were you injured?

MM

DD

YYYY

Disclaimer *

Thank you for contacting The Law Office of George J. Nelson While we're happy to have you contact us by telephone, mail, email, or facsimile; contactingthe Law Office of George J. Nelson or any of our legal staff does not establish an attorney‐ client relationship. The formation of an attorney‐client relationship requires the consideration of many factors to include possible conflicts of interest. An attorney‐client relationship is formed only when both you and The Law Office of George J. Nelson have signed an engagement letter that details the scope of our engagement and the terms thereof. PLEASE DO NOT CONVEY TO US ANY INFORMATION WHICH YOU MAY REGARD AS CONFIDENTIAL UNTIL A FORMAL ATTORNEY‐CLIENT RELATIONSHIP HAS BEEN ESTABLISHED BETWEEN YOURSELF AND THE LAW OFFICE OF GEORGE J. NELSON. BY CLICKING “I AGREE” BELOW, YOU ACKNOWLDGE THAT ANY INFORMATION WHICH YOU MAY CONVEY TO (FIRM NAME) BY THE INTERNET OR BY EMAIL MAY NOT BE SECURE AND ANY INFORMATION CONVEYED PRIOR TO ESTABLISHING AN ATTORNEY‐CLIENT RELATIONSHIP MAY NOT BE PRIVILEGED OR CONFIDENTIAL.

I Agree