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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Basic Information' section. Enter today's date, your full name, date of birth, social security number, gender, race, marital status, and driver's license information.
Proceed to the 'Contact Information' section. Provide your current address, home and cell phone numbers, work telephone number, and email address.
In the 'Spouse/Significant Other Information' section, if applicable, include their name, age, race, years together, and contact details.
Fill out the 'Marriages / Divorces' and 'Children' sections with relevant details about your marital history and children.
Complete the 'Educational History' and 'Most Recent Employment History' sections with accurate information regarding your education and work experience.
In the 'Information Regarding Your Claim', detail the individual or agency involved in your claim along with its basis. Be thorough in describing any wrongful actions.
If currently incarcerated, complete that section with necessary details about your incarceration status.
Answer all questions in the 'Other General Information' section honestly. If any answers are yes, provide explanations on the following page.
Finally, review all entries for accuracy before saving and emailing the completed form to frontdesk@mattoxlaw.com.
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