SOLAR FRAUD INTAKE FORM New Client Intake Form Must Be Completed Prior to Your Consultation.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail Address *Phone Number *Name of Solar Panel Installer or Sales Organization? *Name of Lender or Lease Company. *If applicable, provide the name of the lender/lease company involved.Date the Contract was signed *DateTimeDate you realized you had been scammed. *DateTimeDescribe how you figured it out.Were you over 60 years old when contract was executed? *YesNoDate of Birth *Were you solicited by someone knocking on your door or roaming the neighborhood? *YesNoAre you a Military Veteran? *YesNoWas forgery involved? Ie. Contract, Permitting, etc… *YesNoDescription of Issue *Provide details about the solar panel fraud and any related issues in chronological order. Think who, what, when, where, how? Date over Sales Upload Supporting Documents Click or drag a file to this area to upload. Attach any documents, contracts, biils, photographs of damage, or any other evidence related to the case.How did you hear about us? * Referral by Consumer/Client Google Lawyer Referral Facebook Instagram Twitter LinkedIn TV or News Media Please let us know how you found us…OtherLoan/Lease Amount Selected Value: 10000 How much financial damage was the loan/lease AFTER the 25 year term?Additional CommentsProvide any additional information that may be helpful for your case.Submit
