Los Angeles Office
11377 West Olympic Blvd.
Suite 508, Los Angeles, CA 90064
Tel: 310-476-5788
Fax: 213-341-2360
Houston/Sugar Land Office
PO Box 16367

Sugar Land, TX 77496
Tel: 713-225-5785
Fax: 213.341.2360

Case Evaluation – Intake Questionnaire:
If you would like to have The Law Offices of Renuka V. Jain evaluate your potential case and consider representing you, please do the following:
1. Carefully read this section
2. Complete the Intake Questionnaire
3. Click “Submit” to email the form to us
To properly evaluate your case it is imperative that you answer all questions and provide as much detail as possible. If you prefer to include your information in the form of a letter or a narrative statement, please make sure that you address all the matters in the questionnaire.
While we have taken the necessary steps to ensure the security of email communications, we cannot guarantee total security and confidentiality. Therefore, if you are concerned about security, please print out this questionnaire and mail it to us.
Primary Telephone Number*
Secondary Telephone Number
Fax Number
Email Address*
What is the best way to contact you?:*
What is the best time to contact you?*
Profession/Job Title
Employer City
Employer State
Please describe the nature of your legal problem. If you have filed a complaint with any entity or organization please include the name.*

 Get a new challenge
Write the characters in the image above

These pages provide information. They should not be construed to contain legal advice. While we will treat any information provided as privileged and confidential, you should understand that when you provide information about a potential case, we do not become your attorneys. With your permission, we may use your information to investigate whether we wish to represent you to bring a case. But until we sign a written agreement we do not represent you and have not agreed to do so.