Please complete this form to allow a firm representative to contact you so that we can assist you.

The Broderick Law Firm, P.L. will contact you within twenty-four (24) business hours of receipt of this form to answer your question. This is a FREE consultation and you will not be charged for this call. I understand that by submitting this form that The Broderick Law Firm, P.L. does not represent me and are not my attorney and that there is no attorney-client relationship by submitting my question or requesting that The Broderick Law Firm, P.L. contact me. I understand that the only way the The Broderick Law Firm, P.L. will represent me is by entering into a fee agreement/retainer agreement and that this form is not a fee agreement/retainer agreement.