Contact Us Name(Required) First Last Phone(Required)Email(Required) Today's Date:(Required) MM slash DD slash YYYY Date of order, verdict, and / or when judgment was entered:(Required) MM slash DD slash YYYY Type of order appealing from:(Required) Jury Trial Bench Trial New Trial Order Fee Award Injunction Arbitration Other Did you win or lose at the trial level:(Required) Won Lost If other, please specify:(Required)If you went to trial, who was the judge?How many days was the trial?If you lost at trial, are you able to pay for hourly representation (we do not handle losses on a contingency):(Required) Yes No Are you currently represented by an attorney?(Required) Yes No What is your attorney's name?(Required)What is your former attorney's name?(Required)Has an appeal been filed?(Required) Yes No What is the appellate case number?(Required)When is the AOB or RB due?(Required)Are there any documents you would like to share?Max. file size: 2 GB. Acknowledgments I understand that submitting this form does not create an attorney-client relationship. Δ Address14156 Magnolia Blvd., Suite 200Sherman Oaks, CA 91423 Emailinfo@pineappeals.com Phone818-379-9710
