Schedule a Consultation

You may schedule an initial consultation either by calling our office directly at 732-223-7711 or by filling-out the confidential, attorney-client privileged questionnaire below. We will respond to you promptly upon receiving your information.

In asking you to fill out this questionnaire, McMoran, O’Connor, Bramley & Burns, P.C. is not agreeing to represent you or to take any legal action on your behalf. We do not agree to represent any client until after we have met with them and reviewed their situation during the initial consultation. If we agree you represent you, we will prepare a separate, written engagement letter for your review and approval.

Date(Required)

Full Name(Required)

Full Address(Required)

Age(Required)

Date of Birth(Required)

Gender(Required)

Home Telephone

Cell Phone

Home Email Address(Required)

Best Time To Call(Required)

Name of Employer

Address of Employer

Date of Hire

Date of Termination (if applicable)

Job Title/Description

Annual Salary & Bonus or Hourly Rate of Pay

Briefly Describe Your Reason For Contacting Us

When(on what date) did this events occur?

Do you believe you were discriminated against because of your age, gender, race, disability, sexual orientation, national origin or any other personal characteristics? If so, please explain.

Do you believe your employer has retaliated against you for objecting to or refusing to participate in conduct that you believe in fraudulent or unlawful? If so, please explain.

Do you have any reason to believe that your employer have defrauded the federal or state government? If so, please explain.

Is there any other information that will help us understand your reason for contacting us?

How did you hear about McMoran, O'Connor, Bramley & Burns, P.C

If you are referred by someone, who referred you?

Schedule a Consultation

New Jersey

New York