They may be printed out and either mailed or faxed back to our office so that we can begin working on your case immediately. If you have any questions at all about these forms, please feel free to contact our office and we will answer any concerns you have. We can be reached toll free at 800-699-9097.
SIGNING AND RETURNING THESE FORMS DOES NOT GUARANTEE ACCEPTANCE OF YOUR CASE. FORMS ARE NOT VALID WITHOUT ATTORNEY SIGNATURE.
Information about forms:
Retainer Agreement: With Kirbys Law, there are no upfront costs to you.
Consent To Release Records: This form allows us to obtain copies of your medical and employment records for your case.
Medicare Form: Required by Federal Government as to whether or not you have Medicare.
Personal Injury Questionnaire: This form allows us to obtain some background information about you. It is a bit long but it is very helpful for your case.California
- Retainer Agreement Download
- Consent to Release Records Form Download
- Medicare Information Form Download
- Personal Injury Questionnaire Download