Call today for a consultation. Let us help you protect your legal rights.

To contact us simply call, E-mail or use our "Contact Us" form at the bottom of this page.

Please rest assured that all communications are kept strictly confidential, regardless of whether or not we become your attorneys.

The Law Offices of
Mulligan & Banham

2442 4th Avenue Suite 100
San Diego, CA 92101

Phone:
619.238.8700
858.453.9815
FAX: 619.238.8701

request@janmulligan.com


General Contact Information:

Full Name:

E-Mail Address:

Phone Number:

How did you hear about our website?

General Incident Information:

On what date were you injured (00/00/0000)?
/ /

Person(s) believed responsible for injury?

Do you believe that any of your injuries are permanent?

In what city and state did the injury occur?

Please briefly explain the incident that caused your injury:

Please briefly describe your injuries:

Important Legal Disclaimers:
Yes No - I agree that this matter may be referred to an attorney in my area who may contact me.

Yes No - I agree that the information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question.

Yes - I agree that the above does not constitute a request for legal advice and that I am not forming an attorney client relationship by submitting this question. I understand that I may only retain an attorney by entering into a fee agreement, and that I am not hereby entering into a fee agreement.